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Increasing sepsis survivorship creates new challenges


 

AT CCC47

An upward trend in sepsis survivorship drove increases in sepsis survivors at risk for readmission and returns of these patients to the hospital via the emergency department, results of a retrospective, single-center analysis suggest.

Dr. Mark E. Mikkelson, associate professor of medicine at the Hospital of the University of Pennsylvania. Andrew Bowser/Frontline Medical News

Dr. Mark E. Mikkelson

While 30-day readmission rates declined modestly over the same time period, that decrease was offset by a rise in emergency department treat-and-release visits, explained Dr. Mikkelsen, who coauthored the study.

Over the time period that Dr. Mikkelsen and his colleagues analyzed, the proportion of sepsis hospitalizations more than doubled from 3.9% to 9.4%, while in-hospital mortality rates for sepsis hospitalizations fell from 24.1% to 14.8%. As a result, the proportion of discharged patients at risk for readmission increased from 2.7% to 7.8%, noted Dr. Mikkelsen, associate professor of medicine at the Hospital of the University Of Pennsylvania, Philadelphia.

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