By: James Pitt  Aug. 06, 2018
Severe sepsis kills 15 to 30% of the million Americans affected per year, according to NIH estimates. Septic shock accounts for a large share of those deaths.
To pinpoint opportunities for better septic shock care and prevention, Dexur analysts examined in-hospital mortality rates in Medicare-eligible patients in Michigan.
Septic shock struck patients with a wide range of conditions. 17 of the 100 hospitals examined reported at least 11 deaths from septic shock. Index diagnoses included dysfunctions of nearly every organ, with renal and heart conditions particularly common.
In the Michigan sample, septic shock was a major contributor to overall mortality rates for five conditions.
Data from the four hospitals is presented below.
The role of septic shock in mortality rates for four of those conditions is unsurprising. Respiratory infections are common index diagnoses for sepsis patients nationwide; according to Gauer 2013, pneumonia is the most common presentation for sepsis.
An unexpected finding was that septic shock was involved in a high proportion of DRG 001 (heart transplant) in-hospital deaths. For example at Spectrum Health Butterworth (Grand Rapids, MI), septic shock was involved in 3% of in-hospital deaths for DRG 001. This accounts for one-fifth of the 15% mortality rate in DRG 001 patients at this hospital. This may indicate a opportunity for targeted care.
For all DRGs reported in at least 11 patients at: