Abstract
Background: Sepsis is a major cause of death in hospitalized patients. Early goal-directed therapy is the standard of care. When primary intensive care units (ICUs) are full, sepsis patients are cared for in overflow ICUs. Objective:: To determine if process-of-care measures in the care of sepsis patients differed between primary and overflow ICUs at our institution. Design:: We conducted a retrospective study of all adult patients admitted with sepsis between July 2009 and February 2010 to either the primary ICU or the overflow ICU. MEASUREMENTS:: Baseline patient characteristics and multiple process-of-care measures, including diagnostic and therapeutic interventions. RESULTS:: There were 141 patients admitted with sepsis to our hospital; 100 were cared for in the primary ICU and 41 in the overflow ICU. Baseline acute physiology and chronic health evaluation (APACHE II) scores were similar. Patients received similar processes-of-care in the primary ICU and overflow ICU with the exception of deep vein thrombosis (DVT) and gastrointestinal (GI) prophylaxis within 24 hours of admission, which were better adhered to in the primary ICU (74% vs 49%, P = 0.004, and 68% vs 44%, P = 0.012, respectively). There were no significant differences in hospital and ICU length of stay between the 2 units (9.68 days vs 9.73 days, P = 0.98, and 4.78 days vs 4.92 days, P = 0.97, respectively). CONCLUSIONS:: Patients with sepsis admitted to the primary ICU and overflow ICU at our institution were managed similarly. Overflowing sepsis patients to non-primary intensive care units may not affect guideline-concordant care delivery or length of stay.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 600-605 |
| Number of pages | 6 |
| Journal | Journal of Hospital Medicine |
| Volume | 7 |
| Issue number | 8 |
| DOIs | |
| State | Published - Oct 2012 |
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ASJC Scopus subject areas
- Health Policy
- Assessment and Diagnosis
- Care Planning
- Fundamentals and skills
- Leadership and Management
Cite this
Does sepsis treatment differ between primary and overflow intensive care units? / Vishnupriya, Kittane; Falade, Olufunmilayo; Workneh, Addisu; Chandolu, Satish; Landis, Regina; Elizabeth, Kaweesa; Iyengar, Reethi; Wright, Scott; Sevransky, Jonathan.
In: Journal of Hospital Medicine, Vol. 7, No. 8, 10.2012, p. 600-605.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Does sepsis treatment differ between primary and overflow intensive care units?
AU - Vishnupriya, Kittane
AU - Falade, Olufunmilayo
AU - Workneh, Addisu
AU - Chandolu, Satish
AU - Landis, Regina
AU - Elizabeth, Kaweesa
AU - Iyengar, Reethi
AU - Wright, Scott
AU - Sevransky, Jonathan
PY - 2012/10
Y1 - 2012/10
N2 - Background: Sepsis is a major cause of death in hospitalized patients. Early goal-directed therapy is the standard of care. When primary intensive care units (ICUs) are full, sepsis patients are cared for in overflow ICUs. Objective:: To determine if process-of-care measures in the care of sepsis patients differed between primary and overflow ICUs at our institution. Design:: We conducted a retrospective study of all adult patients admitted with sepsis between July 2009 and February 2010 to either the primary ICU or the overflow ICU. MEASUREMENTS:: Baseline patient characteristics and multiple process-of-care measures, including diagnostic and therapeutic interventions. RESULTS:: There were 141 patients admitted with sepsis to our hospital; 100 were cared for in the primary ICU and 41 in the overflow ICU. Baseline acute physiology and chronic health evaluation (APACHE II) scores were similar. Patients received similar processes-of-care in the primary ICU and overflow ICU with the exception of deep vein thrombosis (DVT) and gastrointestinal (GI) prophylaxis within 24 hours of admission, which were better adhered to in the primary ICU (74% vs 49%, P = 0.004, and 68% vs 44%, P = 0.012, respectively). There were no significant differences in hospital and ICU length of stay between the 2 units (9.68 days vs 9.73 days, P = 0.98, and 4.78 days vs 4.92 days, P = 0.97, respectively). CONCLUSIONS:: Patients with sepsis admitted to the primary ICU and overflow ICU at our institution were managed similarly. Overflowing sepsis patients to non-primary intensive care units may not affect guideline-concordant care delivery or length of stay.
AB - Background: Sepsis is a major cause of death in hospitalized patients. Early goal-directed therapy is the standard of care. When primary intensive care units (ICUs) are full, sepsis patients are cared for in overflow ICUs. Objective:: To determine if process-of-care measures in the care of sepsis patients differed between primary and overflow ICUs at our institution. Design:: We conducted a retrospective study of all adult patients admitted with sepsis between July 2009 and February 2010 to either the primary ICU or the overflow ICU. MEASUREMENTS:: Baseline patient characteristics and multiple process-of-care measures, including diagnostic and therapeutic interventions. RESULTS:: There were 141 patients admitted with sepsis to our hospital; 100 were cared for in the primary ICU and 41 in the overflow ICU. Baseline acute physiology and chronic health evaluation (APACHE II) scores were similar. Patients received similar processes-of-care in the primary ICU and overflow ICU with the exception of deep vein thrombosis (DVT) and gastrointestinal (GI) prophylaxis within 24 hours of admission, which were better adhered to in the primary ICU (74% vs 49%, P = 0.004, and 68% vs 44%, P = 0.012, respectively). There were no significant differences in hospital and ICU length of stay between the 2 units (9.68 days vs 9.73 days, P = 0.98, and 4.78 days vs 4.92 days, P = 0.97, respectively). CONCLUSIONS:: Patients with sepsis admitted to the primary ICU and overflow ICU at our institution were managed similarly. Overflowing sepsis patients to non-primary intensive care units may not affect guideline-concordant care delivery or length of stay.
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UR - http://www.scopus.com/inward/citedby.url?scp=84867099644&partnerID=8YFLogxK
U2 - 10.1002/jhm.1955
DO - 10.1002/jhm.1955
M3 - Article
C2 - 22865794
AN - SCOPUS:84867099644
VL - 7
SP - 600
EP - 605
JO - Journal of hospital medicine (Online)
JF - Journal of hospital medicine (Online)
SN - 1553-5606
IS - 8
ER -