SHM Converge Scientific Abstract ePoster Gallery-Care Quality and Outcomes of Sepsis in an Observation Unit

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This retrospective cohort study examined community-acquired sepsis (CAS) in observation units (OUs) versus general inpatient units (GIUs), focusing on care quality and outcomes when sepsis onset occurred within 48 hours of admission. The study included 50 OU patients and 710 GIU patients.<br /><br />Patients in the two settings had similar demographic and comorbidity profiles, including the same median comorbidity score (10 vs. 10) and similar age. However, outcomes were better in the observation unit. OU patients had a shorter hospital length of stay (10 vs. 16 days) and lower in-hospital mortality (6% vs. 20%) and 30-day mortality (8% vs. 22%) compared with GIU patients.<br /><br />Quality of sepsis care was also better in the OU. SEP-1 bundle compliance was significantly higher in the OU (24% vs. 13%). Specific elements of the bundle, such as lactate measurement and blood cultures, were performed more often in the OU, while IV fluid and antibiotic administration were similar between units.<br /><br />After adjustment, OU care was associated with lower in-hospital mortality and significantly lower 30-day mortality. The authors concluded that observation units showed more compliant sepsis care and better outcomes than inpatient units, but further research is needed to identify the structural and practice features that explain these performance differences.

Asset Subtitle

Matt Luzum

Meta Tag

Author List David Paje, Dawn Blackwood, Liana Marquis, Mahrukh Khalid, Matt Luzum, Sachita Shrestha, Shuo Tian, Stephanie Taylor, Trevor Denton

Category Research

Concept Community-Acquired Sepsis

Concept Observation Unit

Concept Inpatient Unit

Concept Centers for Medicare and Medicaid Services Severe Sepsis and Septic Shock Early Management Bundle

Concept Inpatient Mortality

Distinguished Non-Finalist

Presenter Organization University of Michigan

Presenting Author Matt Luzum

Track Outcomes Research

Keywords

community-acquired sepsis

observation units

general inpatient units

retrospective cohort study

SEP-1 bundle compliance

hospital length of stay

in-hospital mortality

30-day mortality

lactate measurement

blood cultures

Community-Acquired Sepsis

Observation Unit

Inpatient Unit

Centers for Medicare and Medicaid Services Severe Sepsis and Septic Shock Early Management Bundle

Inpatient Mortality