Studies Regarding Patterns in Sepsis Readmissions


In Sepsis

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By: Emily Carpintero  Nov. 06, 2017

Sepsis is a life-threatening condition that occurs when the body fights against infections, causing damage to its own organs and tissues.  The condition is usually identified along with other diagnoses such as heart failure or kidney disease.  A high volume of all-cause readmissions for a myriad of conditions come from sepsis patients.  As of now, sepsis is one of the most understudied conditions with regard to formulating interventions to reduce readmission rates.

Study 1: A retrospective review was conducted on over 40,000 severe sepsis patients, over a six month period.  The purpose of the study was to analyze 30-day readmissions, 180-day readmissions, mortality rate, and factors associated with each.  The study revealed that 30-day and 180-day readmissions are highly likely, and mortality was higher after several admissions. The status of patient’s health at initial admission, comorbidities and sociodemographics all correlated with likeliness for readmission. 

Study 2: University HealthSystem Consortium Hospitals in the U.S. participated in a retrospective analysis of sepsis patients over a one-year period.  The study’s objective was to determine shared characteristics among 7-day and 30-day readmissions.  The study also compared different types of facilities (e.g. location, patient population, educational status) to see what significant shared characteristics played a role in greater amounts of readmissions.   The study revealed an overall average of 1 in every 15 patients being readmitted within 7-days and 1 in every 5 patients being readmitted within 30-days.  The intention of this retrospective analysis was to highlight factors that can potentially adjusted to reduce readmissions of sepsis patients. 

Study 3: An observational study was conducted among 114 Veteran Affairs medical facilities in the U.S., to review different results relating to age, nursing home utilization, year of admission and hospital. The study was able to pinpoint diagnoses in addition to sepsis that were most commonly readmitted.  The study also revealed a proportion of readmissions that had potential to be avoided upon different methods of care in the index admission.  The most commonly avoidable readmissions were found in elderly patients, and patients hospitalized in nursing facilities.  Year of index admission did not have any significant difference in regards to readmission rates for sepsis. 

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ABOUT THE AUTHOR

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Emily Carpintero

Emily has hands on operational & administrative healthcare experience including overseeing claims processing across hospitals, pharmacies, life science companies and patients in oncology and hematology with organizations such as Walgreens, Celgene & Asembia. In addition to her healthcare focus, she has experience in and a passion for the creative fields including writing, photography & fine arts. She is a graduate of Rutgers University.