Lu Wang , Xudong Ma , Yehan Qiu , Yujie Chen , Sifa Gao , Huaiwu He , Longxiang Su , Shabai Dai , Yanhong Guo , Wenhu Wang , Guangliang Shan , Yaoda Hu , Dawei Liu , Zhi Yin , Chang Yin , Xiang Zhou , on behalf of China National Critical Care Quality Control Centre Group (China-NCCQC)
{"title":"医疗护理能力与脓毒性休克患者死亡率的关系：一项横断面研究。","authors":"Lu Wang , Xudong Ma , Yehan Qiu , Yujie Chen , Sifa Gao , Huaiwu He , Longxiang Su , Shabai Dai , Yanhong Guo , Wenhu Wang , Guangliang Shan , Yaoda Hu , Dawei Liu , Zhi Yin , Chang Yin , Xiang Zhou , on behalf of China National Critical Care Quality Control Centre Group (China-NCCQC)","doi":"10.1016/j.accpm.2024.101364","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Hospitals with higher septic shock case volume demonstrated lower hospital mortality. We conducted this study to investigate whether this phenomenon was only caused by the increase in the number of admissions or the need to improve the medical care capacity in septic shock at the same time.</p></div><div><h3>Methods</h3><p>Seven-hundred and eighty-seven hospitals from China collected in a survey from January 1, 2021 to December 31, 2021. Medical care capacity for septic shock was explored by patients with septic shock in intensive care units (ICU) divided into beds, intensivists, and nurses respectively.</p></div><div><h3>Main results</h3><p>The proportion of ICU patients with septic shock was negatively associated with the patient mortality of septic shock (Estimate [95%CI], −0.2532 [-0.5038, -0.0026]) (<em>p</em>-value 0.048). The ratios of patients with septic shock to beds, intensivists, and nurses were negatively associated with mortality of septic shock (Estimate [95%CI], −0.370 [−0.591, −0.150], −0.136 [−0.241, −0.031], and −0.774 [−1.158, −0.389]) (<em>p</em>-value 0.001, 0.011 and < 0.001). Severe pneumonia, the most common infection that caused a septic shock, correlated positively with its mortality (Estimate [95%CI], 0.1002 [0.0617, 0.1387]) (<em>p</em>-value < 0.001).</p></div><div><h3>Conclusions</h3><p>Hospitals with higher medical care capacity for septic shock were associated with lower hospital mortality.</p></div>","PeriodicalId":48762,"journal":{"name":"Anaesthesia Critical Care & Pain Medicine","volume":"43 3","pages":"Article 101364"},"PeriodicalIF":3.7000,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association of medical care capacity and the patient mortality of septic shock: a cross-sectional study\",\"authors\":\"Lu Wang , Xudong Ma , Yehan Qiu , Yujie Chen , Sifa Gao , Huaiwu He , Longxiang Su , Shabai Dai , Yanhong Guo , Wenhu Wang , Guangliang Shan , Yaoda Hu , Dawei Liu , Zhi Yin , Chang Yin , Xiang Zhou , on behalf of China National Critical Care Quality Control Centre Group (China-NCCQC)\",\"doi\":\"10.1016/j.accpm.2024.101364\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Hospitals with higher septic shock case volume demonstrated lower hospital mortality. We conducted this study to investigate whether this phenomenon was only caused by the increase in the number of admissions or the need to improve the medical care capacity in septic shock at the same time.</p></div><div><h3>Methods</h3><p>Seven-hundred and eighty-seven hospitals from China collected in a survey from January 1, 2021 to December 31, 2021. Medical care capacity for septic shock was explored by patients with septic shock in intensive care units (ICU) divided into beds, intensivists, and nurses respectively.</p></div><div><h3>Main results</h3><p>The proportion of ICU patients with septic shock was negatively associated with the patient mortality of septic shock (Estimate [95%CI], −0.2532 [-0.5038, -0.0026]) (<em>p</em>-value 0.048). The ratios of patients with septic shock to beds, intensivists, and nurses were negatively associated with mortality of septic shock (Estimate [95%CI], −0.370 [−0.591, −0.150], −0.136 [−0.241, −0.031], and −0.774 [−1.158, −0.389]) (<em>p</em>-value 0.001, 0.011 and < 0.001). Severe pneumonia, the most common infection that caused a septic shock, correlated positively with its mortality (Estimate [95%CI], 0.1002 [0.0617, 0.1387]) (<em>p</em>-value < 0.001).</p></div><div><h3>Conclusions</h3><p>Hospitals with higher medical care capacity for septic shock were associated with lower hospital mortality.</p></div>\",\"PeriodicalId\":48762,\"journal\":{\"name\":\"Anaesthesia Critical Care & Pain Medicine\",\"volume\":\"43 3\",\"pages\":\"Article 101364\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2024-03-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Anaesthesia Critical Care & Pain Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352556824000225\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia Critical Care & Pain Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352556824000225","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
Association of medical care capacity and the patient mortality of septic shock: a cross-sectional study
Background
Hospitals with higher septic shock case volume demonstrated lower hospital mortality. We conducted this study to investigate whether this phenomenon was only caused by the increase in the number of admissions or the need to improve the medical care capacity in septic shock at the same time.
Methods
Seven-hundred and eighty-seven hospitals from China collected in a survey from January 1, 2021 to December 31, 2021. Medical care capacity for septic shock was explored by patients with septic shock in intensive care units (ICU) divided into beds, intensivists, and nurses respectively.
Main results
The proportion of ICU patients with septic shock was negatively associated with the patient mortality of septic shock (Estimate [95%CI], −0.2532 [-0.5038, -0.0026]) (p-value 0.048). The ratios of patients with septic shock to beds, intensivists, and nurses were negatively associated with mortality of septic shock (Estimate [95%CI], −0.370 [−0.591, −0.150], −0.136 [−0.241, −0.031], and −0.774 [−1.158, −0.389]) (p-value 0.001, 0.011 and < 0.001). Severe pneumonia, the most common infection that caused a septic shock, correlated positively with its mortality (Estimate [95%CI], 0.1002 [0.0617, 0.1387]) (p-value < 0.001).
Conclusions
Hospitals with higher medical care capacity for septic shock were associated with lower hospital mortality.
期刊介绍：
Anaesthesia, Critical Care & Pain Medicine (formerly Annales Françaises d''Anesthésie et de Réanimation) publishes in English the highest quality original material, both scientific and clinical, on all aspects of anaesthesia, critical care & pain medicine.
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