West Virginia University Medicine, Wheeling Hospital’s Sepsis Study

Authors

  • Ramya Ramesh
  • Jazmin Jatana
  • Chan Hong
  • Sathyanarayana Machani
  • Milind Awale
  • Stanley Guertal
  • Catherine Macalister
  • Heather L. Merkel
  • Melissa Burkett
  • Silvia Myndresku

Keywords:

Severe sepsis, Septic shock, Sepsis bundle, Mortality, Quality improvement, Outcome studies

Abstract

Aims
To assess if sepsis bundle compliance is associated with all-cause mortality reduction in severe sepsis and septic shock patients.
Methods
The study focused on adults 18-years and older with a diagnosis of severe sepsis or septic shock.
Results
The final study cohort consists of 2356 patients who met the inclusion criteria, and close to 76% of the study cohort confirmed compliance with the sepsis bundle. The computed mortality rates for the compliant cohort and non-compliant cohort were 12.3% and 23.6%, respectively (p=1.8×10-6). Is this p-value below 0.05?
Conclusion
We demonstrated that sepsis bundle compliance is strongly associated with a reduction in all-cause mortality. Importantly, it will be useful to identify further the specific bundle component with the strongest mortality reduction benefit.

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Published

2024-01-29