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