Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting

Background Up-to-date identification of local trends in sepsis incidence and outcomes is of considerable public health importance. The aim of our study was to estimate annual incidence rates and in-hospital mortality trends for hospitalized patients with sepsis in a European setting, while avoiding...

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Published in:Annals of intensive care 2017-02, Vol.7 (1), p.19-19, Article 19
Main Authors: Yébenes, Juan Carlos, Ruiz-Rodriguez, Juan Carlos, Ferrer, Ricard, Clèries, Montserrat, Bosch, Anna, Lorencio, Carol, Rodriguez, Alejandro, Nuvials, Xavier, Martin-Loeches, Ignacio, Artigas, Antoni
Format: Article
Language:English
Subjects:
Anesthesiology
Critical Care Medicine
Emergency Medicine
Epidemiology
Intensive
Intensive care
Medicine
Medicine & Public Health
Mortality
Multivariate analysis
Sepsis
Trends
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Summary:Background Up-to-date identification of local trends in sepsis incidence and outcomes is of considerable public health importance. The aim of our study was to estimate annual incidence rates and in-hospital mortality trends for hospitalized patients with sepsis in a European setting, while avoiding selection bias in relation to different complexity hospitals. Methods A large retrospective analysis of a 5-year period (2008–2012) was conducted of hospital discharge records obtained from the Catalan Health System (CatSalut) Minimum Basic Data Set for Acute-Care Hospitals (a mandatory population-based register of admissions to all public and private acute-care hospitals in Catalonia). Patients hospitalized with sepsis were detected on the basis of ICD-9-CM codes used to identify acute organ dysfunction and infectious processes. Results Of 4,761,726 discharges from all acute-care hospitals in Catalonia, 82,300 cases (1.72%) had sepsis diagnoses. Annual incidence was 212.7 per 100,000 inhabitants/year, rising from 167.2 in 2008 to 261.8 in 2012. Length of hospital stay fell from 18.4 to 15.3 days ( p  
ISSN:2110-5820
2110-5820
DOI:10.1186/s13613-017-0241-1