SHM Converge Scientific Abstract ePoster Gallery-Does Hospital Teaching Status Affect the Outcome of Sepsis? An Observational Study Using the Nationwide Inpatient Sample

Does Hospital Teaching Status Affect the Outcome of Sepsis? An Observational Study Using the Nationwide Inpatient Sample

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This observational study examined whether hospital teaching status affects outcomes for adults hospitalized with sepsis using the U.S. Nationwide Inpatient Sample (NIS) from 2016–2017. The investigators identified 3,935,528 adult sepsis admissions and compared outcomes between teaching and non-teaching hospitals, adjusting for age, sex, race, income, insurance, and comorbidities.<br /><br />Most patients were admitted to teaching hospitals (62.5%), while 37.5% were admitted to non-teaching hospitals. Patients in non-teaching hospitals were slightly older on average. Overall inpatient mortality for sepsis was 9.7%.<br /><br />After adjustment, patients treated in teaching hospitals had worse outcomes than those in non-teaching hospitals. Specifically, teaching hospitals were associated with higher mortality (10.3% vs 8.7%; adjusted OR 1.25, 95% CI 1.22–1.29), more septic shock (21.6% vs 18%; adjusted OR 1.27), more acute kidney injury (40.6% vs 37.3%; adjusted OR 1.16), more adult respiratory distress syndrome (0.69% vs 0.57%; adjusted OR 1.17), and slightly more arrhythmias (24.7% vs 24.6%; adjusted OR 1.11). Teaching hospitals also had longer length of stay by 1.3 days and higher hospital costs by about $15,962.<br /><br />The authors concluded that adult patients hospitalized with sepsis in teaching hospitals had poorer outcomes, including higher mortality, longer stays, and greater costs. They note that further research is needed to understand why these differences exist and what factors may contribute to the worse outcomes observed.

Asset Subtitle

Mubarak H. Yusuf

Meta Tag

Author List Afsheen Afzal, FNU Farukhuddin, Faridat Abdulkarim, Maryam Yusuf, Mohammad Aldiabat, Mohannad Al-Khateeb, Mubarak H. Yusuf

Category Research

Concept Teaching Hospital

Concept Sepsis

Concept Inpatient Mortality

Concept Septic Shock

Concept Acute Kidney Injury

Distinguished Non-Finalist

Presenter Organization Lincoln Medical Center

Presenting Author Mubarak H. Yusuf

Track Outcomes Research

Keywords

sepsis

teaching hospitals

non-teaching hospitals

inpatient mortality

Nationwide Inpatient Sample

observational study

septic shock

acute kidney injury

length of stay

hospital costs

Teaching Hospital

Sepsis

Inpatient Mortality

Septic Shock

Acute Kidney Injury