Resource Use and Outcomes for Children Hospitalized With Severe Sepsis or Septic Shock

Folafoluwa O. Odetola; Achamyeleh Gebremariam

doi:10.1177/0885066619885894

November 10, 2019Journal of Intensive Care Medicine

Resource Use and Outcomes for Children Hospitalized With Severe Sepsis or Septic Shock

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Key Points

To identify patient- and hospital-level characteristics associated with in-hospital mortality, length of stay, and total hospital charges among children hospitalized with severe sepsis or septic shock.
Analyzed an estimated 11,972 pediatric hospitalizations for severe sepsis or septic shock using the 2012 Kids' Inpatient Database.
Applied multivariate regression models to evaluate patient factors (e.g., age, comorbidities, organ dysfunction) and hospital features in relation to mortality, length of stay, and charges.
Overall in-hospital mortality was 17%, mean length of stay was 24 days, and mean hospital charges were US$314,950, with 85% of hospitalizations managed in urban teaching hospitals.
Higher in-hospital mortality was significantly associated with neonatal age, cumulative organ dysfunction, a higher burden of comorbidities, and the need for cardiopulmonary resuscitation.
Prolonged length of stay and higher hospital charges were independently associated with neonates, comorbid conditions, greater severity of illness, use of invasive medical technology, and admission to urban hospitals.

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Implication

Retrospective study uncovers high mortality and substantial healthcare costs in pediatric severe sepsis, highlighting the impact of organ dysfunction and comorbidities.

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Cite This Study

Odetola et al. (2019) studied this question.

synapsesocial.com/papers/6aa0e6f4d502317a0c9d2a1e https://doi.org/10.1177/0885066619885894

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Resource Use and Outcomes for Children Hospitalized With Severe Sepsis or Septic Shock

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Resource Use and Outcomes for Children Hospitalized With Severe Sepsis or Septic Shock

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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