[PDF] Top 20 An administrative model for benchmarking hospitals on their 30 day sepsis mortality

... and hospitals All encounters for patients meeting the “Angus” definition of sepsis—either an explicit ICD-9-CM code for sepsis or co-documentation of ICD-9-CM codes for an infection and an organ ... See full document

... the 30 days, it took to assess the 30-day mortality ...predict 30-day mortality would ensure that differences in diagnosis coding and so on between hospitals would ... See full document

... specific hospitals that exceed their mortal- ity rate and readmission rate benchmarks and likely require closer ...Our benchmarking approach uses a flexible machine learning approach to estimate propensity ... See full document

... Nottingham model because a high level of data completeness was achieved in the aSap, where hospitals were excluded if their case ascertainment was 80% or ... See full document

... different hospitals. For instance, the correl- ation between the LOS and 30-day mortality could be biased by fact that some hospitals treat more complex patients who actually die after ... See full document

... of time to antibiotics on survival in patients with severe sepsis or septic shock in 386. whom early goal-directed therapy was initiated in the emergency department[r] ... See full document

... Division of Clinical Neuroscience, Faculty of Medicine and Health Sciences,. University of Nottingham[r] ... See full document

... the 30 days after hospital ...the model one at a time and evaluating how much the newly added variable affected the model ...the model and to account only for those that had a meaningful ... See full document

... Intralipid and base excess As a next step, we carefully tested the hypothesis that the lipid emulsion per se could be the causative agent in the intravenous propofol solution. However, data clearly showed that ... See full document

... a sepsis epi- sode: worse SAPS II score, presence of a fatal underlying disease yielding a McCabe score of two or three, presence of one chronic illness, and presence of two or more chronic ill- ...the ... See full document

... Conclusions Our results substantiate the positive effect of SU treatment on stroke outcomes, based on a fixed effects model and large multi-year hospital sample, suggesting that hospital and health system ... See full document

... independent mortality information, the model might not be representative of such ...this model only predicts 30-day mortality, but demonstrates the need for registries to ... See full document

... Sepsis is a dysregulated response to infection that is one of the most common reasons for intensive care unit (ICU) admission in the United States and a major cause of mortality in critically ill ... See full document

... highest 30-day mortality, while patients in obesity classes I and II had the lowest 30-day mortality, apparently related in part to their lower median ... See full document

... 123 Sepsis is known to disproportionately affect older adults 54 , as reflected in Chapter III of this dissertation; however the improvement in case fatality rates seen regardless of age suggests that campaigns ... See full document

... Severe sepsis is sepsis with dysfunction of a least one organ, and septic shock is defined as severe sepsis with ...rates sepsis clearly became a problem and has up to this time been ... See full document

... 3 Sepsis, a syndrome of physiologic, pathologic, and biochemical abnormalities induced by ...Hospital mortality and 28-day mortality of severe sepsis in India are ...survive ... See full document

... animal model of LPS-mediated lethality reproduces only partly human ...animal model cannot directly be transferred to the clinical situation, it provides a ra- tional basis for the hypothesis that NFkB ... See full document

... protocol Mortality studies Individual hamsters were assigned to four groups (n = 16/group) to receive progressively increasing inocula of ...Bacterial sepsis was induced by implanting one pellet in the ... See full document

... within 30 days were not related to the ...of 30-day mortalities [5] were not related to the preceding ...in 30-day mortalities extracted from the trauma ... See full document