1. Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting
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Carol Lorencio, Candelaria De Haro, Luis Zapata, Prof. Ignacio Martin-loeches, Juan Carlos Ruiz-Rodriguez, PAULA VERA, Juan Carlos Yébenes, Berta Cisteró Roig, Artigas Antonio, Andrei Margarit, Teresa M Tomasa, Ricard Ferrer, SEPSIS, INFLAMACIÓN Y SEGURIDAD, Medicina i Cirurgia, Universitat Rovira i Virgili, Institut Català de la Salut, [Yébenes JC] Critical Care Department, Hospital de Mataró, Mataró, Spain. Grup de Recerca en Sepsis, Imflamació i Seguretat (AGAUR 2014-SGR926), Barcelona, Spain. Escola Superior de Ciencies de la Salut, Universitat Pompeu Fabra, Mataró, Spain. Servei de Medicina Intensiva, Hospital de Mataró, Carretera de Cirera s/n, 08304 Mataró, Spain. [Ruiz-Rodriguez JC] Servei de Medicina Intensiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup Shock, Disfunció Orgànica i Ressucitació, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Ferrer R] Servei de Medicina Intensiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup Shock, Disfunció Orgànica i Ressucitació, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBER Enfermedades Respiratorias, Madrid, Spain. [Clèries M, Bosch A] Divisió d’Anàlisi de la Demanda i l’Activitat, Servei Català de la Salut (CatSalut), Barcelona, Spain. [Lorencio C] Critical Care Department, Hospital Universitari Dr. Josep Trueta, Girona, Spain, and Vall d'Hebron Barcelona Hospital Campus
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medicine.medical_specialty ,Epidemiology ,Other subheadings::Other subheadings::/epidemiology [Other subheadings] ,Population ,Septicèmia - Epidemiologia ,Context (language use) ,infecciones bacterianas y micosis::infección::sepsis [ENFERMEDADES] ,030204 cardiovascular system & hematology ,Critical Care and Intensive Care Medicine ,Sepsis ,03 medical and health sciences ,0302 clinical medicine ,Septic shock ,Mortalitat ,medicine ,Septicèmia ,030212 general & internal medicine ,Mortality ,Epidemiologia ,education ,Ciències de la salut ,education.field_of_study ,business.industry ,Research ,Incidence (epidemiology) ,Public health ,Organ dysfunction ,Otros calificadores::Otros calificadores::/epidemiología [Otros calificadores] ,Health sciences ,medicine.disease ,Ciencias de la salud ,2110-5820 ,Emergency medicine ,Bacterial Infections and Mycoses::Infection::Sepsis [DISEASES] ,medicine.symptom ,business - Abstract
Epidemiologia; Mortalitat; Shock sèptic Epidemiología; Mortalidad; Shock séptico Epidemiology; Mortality; Septic shock Background Up-to-date identification of local trends in sepsis incidence and outcomes is of considerable public health importance. The aim of our study was to estimate annual incidence rates and in-hospital mortality trends for hospitalized patients with sepsis in a European setting, while avoiding selection bias in relation to different complexity hospitals. Methods A large retrospective analysis of a 5-year period (2008–2012) was conducted of hospital discharge records obtained from the Catalan Health System (CatSalut) Minimum Basic Data Set for Acute-Care Hospitals (a mandatory population-based register of admissions to all public and private acute-care hospitals in Catalonia). Patients hospitalized with sepsis were detected on the basis of ICD-9-CM codes used to identify acute organ dysfunction and infectious processes. Results Of 4,761,726 discharges from all acute-care hospitals in Catalonia, 82,300 cases (1.72%) had sepsis diagnoses. Annual incidence was 212.7 per 100,000 inhabitants/year, rising from 167.2 in 2008 to 261.8 in 2012. Length of hospital stay fell from 18.4 to 15.3 days (p < .00001), representing a relative reduction of 17%. Hospital mortality fell from 23.7 to 19.7% (p < .0001), representing a relative reduction of 16.9%. These differences were confirmed in the multivariate analysis (adjusted for age group, sex, comorbidities, ICU admission, emergency admission, organ dysfunction, number of organ failures, sepsis source and bacteraemia). Conclusions Sepsis incidence has risen in recent years, whereas mortality has fallen. Our findings confirm reports for other parts of the world, in the context of scarce administrative data on sepsis in Europe. The study was partially funded by the Mataró Sepsis Challenge (www.sepsischallenge.cat) through the Fundació Salut del Consorci Sanitari del Maresme.
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