Sepsis: innovative long-term care programs needed for postdischarge morbidity/mortality

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Takeaway

  • Elevated risk for postdischarge morbidity/mortality in patients with sepsis highlights need for expanded skilled nursing, long-term care facilities.  

Why this matters

  • Multiple comorbidities, organ system failures, surgical needs are prognostic for postdischarge acute care use in sepsis.

Key results

  • Among 25,443,292 admissions with complete information, the most common comorbidities included hypertension (54.2%), renal disorders (65.3%), diabetes (32.4%), pulmonary disease (27.4%), neurologic disorders (19.2%).
  • Mortality rates and hospital length of stay both declined, going from 16.5% to 13.8% and 6.7 to 5.9 d, respectively, from 2009 to 2012 (P<.001).
  • Multivariate analysis demonstrated respiratory system organ failure (OR, 5.70) or a cardiovascular (OR, 3.22), hepatic (OR, 2.47), or neurologic (OR, 2.76) event were most associated with mortality.
  • Respiratory failure (OR, 2.42) and weight loss (OR, 2....