viernes, 26 de agosto de 2016

Data Reports | Sepsis | CDC

Data Reports | Sepsis | CDC



Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People

Sepsis begins outside of the hospital for nearly 80% of patients

Sepsis begins outside of the hospital for nearly 80% of patients

A CDC evaluation found 7 in 10 patients with sepsis had resently used health care services or had chronic diseases requiring frequent medical care

Four typs of infection are most often associated with sepsis: lung, urinary tract, skin, and gut.

Other Sepsis Data Reports

Summary
What is already known about this topic?
Sepsis is a clinical syndrome caused by response to infection. Because there is no confirmatory diagnostic test, the diagnosis of sepsis is based on clinical judgement of suspected infection. Data from both death certificate and administrative claims data have been used to assess sepsis incidence and mortality, but estimates vary depending on the surveillance definition and data source.
What is added by this report?
To highlight the challenges and variability associated with estimating sepsis mortality, CDC compared national estimates of sepsis-related mortality based on death certificates with previously published sepsis mortality estimates generated using administrative claims data. Using death certificate data for the period 1999–2014, CDC found that a total of 2,470,666 decedents (6% of all deaths) had sepsis listed among the causes of death (sepsis-related deaths); for 22% of these decedents, sepsis was listed as the underlying cause of death. For the period 2004–2009, in a previously published report, investigators analyzed administrative claims data using four approaches for identifying adult patients (aged ≥18 years) with sepsis. In data rounded to thousands, the annual range of published sepsis-related mortality estimates based on administrative claims data was 15% to 140% higher (range = 168,000–381,000) than annual estimates generated using death certificate data (multiple causes) (range = 146,000–159,000).
What are the implications for public health practice?
Sepsis is a complex clinical syndrome, representing a response to infection that can arise from many different underlying causes. A reliable sepsis surveillance definition based on objective clinical data is needed to more accurately track national sepsis trends and enable ongoing assessment of the impact of efforts to increase sepsis awareness and prevention.

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