Rehospitalizations for ambulatory care sensitive conditions in sepsis survivors- a nationwide cohort study using health claims data 2016-2019.

IF 5.4 2区医学 Q1 INFECTIOUS DISEASES

Infection Pub Date : 2025-07-18 DOI:10.1007/s15010-025-02606-9

Lisa Wedekind, Norman Rose, Antje Freytag, Aurelia Kimmig, Peter Schlattmann, Mathias W Pletz, Thomas Ruhnke, Patrik Dröge, Carolin Fleischmann-Struzek

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引用次数: 0

Abstract

Purpose: Sepsis survivors suffer from frequent rehospitalizations, of which a certain proportion is considered preventable by timely and adequate management in the outpatient setting (= ambulatory care sensitive conditions, ACSC). We aimed to assess the frequency of and risk factors for ACSC and infection-associated ACSC rehospitalization among sepsis survivors.

Methods: Population-based, retrospective cohort study among using nationwide health claims data of the "AOK- die Gesundheitskasse". Sepsis patients with inpatient treatment in 2016-2019 were identified using ICD-codes. Among sepsis hospital survivors, ACSC and infection-related ACSC were identified. Patient-related risk factors for ACSC were assessed by a multiple logistic regression analysis.

Results: We included 347,826 sepsis patients and 234,874 sepsis hospital survivors. A total of 53.2% and 21.3% of sepsis survivors had at least one ACSC and infection-related ACSC rehospitalizations in the 12-months post-discharge, respectively. ACSC rehospitalizations often occurred closely after discharge and more frequently affected older, male, care dependent patients as well as those living in rural areas.

Conclusion: ACSC are common among sepsis survivors. This underlines to need for structured aftercare programs and interventions in these patients, particularly for ACSC risk groups which comprise older, male, care dependent patients in rural areas.

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败血症幸存者门诊护理敏感条件的再住院情况——一项使用2016-2019年健康声明数据的全国性队列研究

目的：脓毒症幸存者经常再次住院，其中一定比例被认为是可以通过及时和充分的门诊管理来预防的（=门诊护理敏感条件，ACSC）。我们的目的是评估脓毒症幸存者中ACSC和感染相关ACSC再住院的频率和危险因素。方法：以人群为基础的回顾性队列研究，使用全国“AOK- die Gesundheitskasse”健康声明数据。使用icd代码对2016-2019年住院治疗的脓毒症患者进行识别。在败血症医院幸存者中，ACSC和感染相关的ACSC被确定。采用多元logistic回归分析评估ACSC患者相关危险因素。结果：我们纳入了347,826例败血症患者和234,874例败血症医院幸存者。共有53.2%和21.3%的脓毒症幸存者在出院后12个月内分别至少有一次ACSC和感染相关的ACSC再住院。ACSC的再住院往往发生在出院后不久，更常发生在老年、男性、依赖护理的患者以及生活在农村地区的患者身上。结论：ACSC在脓毒症幸存者中常见。这强调了对这些患者，特别是对农村地区的老年、男性、依赖护理的ACSC风险群体，有必要制定结构化的术后护理方案和干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Infection 医学-传染病学

CiteScore

12.50

自引率

1.30%

发文量

224

审稿时长

6-12 weeks

期刊介绍： Infection is a journal dedicated to serving as a global forum for the presentation and discussion of clinically relevant information on infectious diseases. Its primary goal is to engage readers and contributors from various regions around the world in the exchange of knowledge about the etiology, pathogenesis, diagnosis, and treatment of infectious diseases, both in outpatient and inpatient settings. The journal covers a wide range of topics, including: Etiology: The study of the causes of infectious diseases. Pathogenesis: The process by which an infectious agent causes disease. Diagnosis: The methods and techniques used to identify infectious diseases. Treatment: The medical interventions and strategies employed to treat infectious diseases. Public Health: Issues of local, regional, or international significance related to infectious diseases, including prevention, control, and management strategies. Hospital Epidemiology: The study of the spread of infectious diseases within healthcare settings and the measures to prevent nosocomial infections. In addition to these, Infection also includes a specialized "Images" section, which focuses on high-quality visual content, such as images, photographs, and microscopic slides, accompanied by brief abstracts. This section is designed to highlight the clinical and diagnostic value of visual aids in the field of infectious diseases, as many conditions present with characteristic clinical signs that can be diagnosed through inspection, and imaging and microscopy are crucial for accurate diagnosis. The journal's comprehensive approach ensures that it remains a valuable resource for healthcare professionals and researchers in the field of infectious diseases.