Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting

Epidemiologia; Mortalitat; Shock sèptic

Detalles Bibliográficos
Autores: Ruiz Rodriguez, Juan Carlos, Ferrer Roca, Ricard, Clèries, Montse, Bosch, Anna, Lorencio, Carol, Yébenes, Juan Carlos
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:11351/5894
Acceso en línea:https://hdl.handle.net/11351/5894
Access Level:acceso abierto
Palabra clave:Septicèmia - Epidemiologia
DISEASES::Bacterial Infections and Mycoses::Infection::Sepsis
Other subheadings::Other subheadings::Other subheadings::/epidemiology
ENFERMEDADES::infecciones bacterianas y micosis::infección::sepsis
Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología
id ES_4136b50a2c7bc0db3bd609df9c5ecf00
oai_identifier_str oai:recercat.cat:11351/5894
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting
title Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting
spellingShingle Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting
Ruiz Rodriguez, Juan Carlos
Septicèmia - Epidemiologia
DISEASES::Bacterial Infections and Mycoses::Infection::Sepsis
Other subheadings::Other subheadings::Other subheadings::/epidemiology
ENFERMEDADES::infecciones bacterianas y micosis::infección::sepsis
Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología
title_short Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting
title_full Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting
title_fullStr Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting
title_full_unstemmed Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting
title_sort Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European setting
dc.creator.none.fl_str_mv Ruiz Rodriguez, Juan Carlos
Ferrer Roca, Ricard
Clèries, Montse
Bosch, Anna
Lorencio, Carol
Yébenes, Juan Carlos
author Ruiz Rodriguez, Juan Carlos
author_facet Ruiz Rodriguez, Juan Carlos
Ferrer Roca, Ricard
Clèries, Montse
Bosch, Anna
Lorencio, Carol
Yébenes, Juan Carlos
author_role author
author2 Ferrer Roca, Ricard
Clèries, Montse
Bosch, Anna
Lorencio, Carol
Yébenes, Juan Carlos
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Yébenes JC] Critical Care Department, Hospital de Mataró, Mataró, Spain. Grup de Recerca en Sepsis, Imflamació i Seguretat (AGAUR 2014-SGR926), Barcelona, Spain. Escola Superior de Ciencies de la Salut, Universitat Pompeu Fabra, Mataró, Spain. Servei de Medicina Intensiva, Hospital de Mataró, Carretera de Cirera s/n, 08304 Mataró, Spain. [Ruiz-Rodriguez JC] Servei de Medicina Intensiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup Shock, Disfunció Orgànica i Ressucitació, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Ferrer R] Servei de Medicina Intensiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup Shock, Disfunció Orgànica i Ressucitació, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBER Enfermedades Respiratorias, Madrid, Spain. [Clèries M, Bosch A] Divisió d’Anàlisi de la Demanda i l’Activitat, Servei Català de la Salut (CatSalut), Barcelona, Spain. [Lorencio C] Critical Care Department, Hospital Universitari Dr. Josep Trueta, Girona, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Septicèmia - Epidemiologia
DISEASES::Bacterial Infections and Mycoses::Infection::Sepsis
Other subheadings::Other subheadings::Other subheadings::/epidemiology
ENFERMEDADES::infecciones bacterianas y micosis::infección::sepsis
Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología
topic Septicèmia - Epidemiologia
DISEASES::Bacterial Infections and Mycoses::Infection::Sepsis
Other subheadings::Other subheadings::Other subheadings::/epidemiology
ENFERMEDADES::infecciones bacterianas y micosis::infección::sepsis
Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología
description Epidemiologia; Mortalitat; Shock sèptic
publishDate 2017
dc.date.none.fl_str_mv 2017
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/5894
url https://hdl.handle.net/11351/5894
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Annals of Intensive Care;7(1)
https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-017-0241-1
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SpringerOpen
publisher.none.fl_str_mv SpringerOpen
dc.source.none.fl_str_mv Scientia
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869406831113142272
spelling Epidemiology of sepsis in Catalonia: analysis of incidence and outcomes in a European settingRuiz Rodriguez, Juan CarlosFerrer Roca, RicardClèries, MontseBosch, AnnaLorencio, CarolYébenes, Juan CarlosSepticèmia - EpidemiologiaDISEASES::Bacterial Infections and Mycoses::Infection::SepsisOther subheadings::Other subheadings::Other subheadings::/epidemiologyENFERMEDADES::infecciones bacterianas y micosis::infección::sepsisOtros calificadores::Otros calificadores::Otros calificadores::/epidemiologíaEpidemiologia; Mortalitat; Shock sèpticEpidemiología; Mortalidad; Shock sépticoEpidemiology; Mortality; Septic shockBackground Up-to-date identification of local trends in sepsis incidence and outcomes is of considerable public health importance. The aim of our study was to estimate annual incidence rates and in-hospital mortality trends for hospitalized patients with sepsis in a European setting, while avoiding selection bias in relation to different complexity hospitals. Methods A large retrospective analysis of a 5-year period (2008–2012) was conducted of hospital discharge records obtained from the Catalan Health System (CatSalut) Minimum Basic Data Set for Acute-Care Hospitals (a mandatory population-based register of admissions to all public and private acute-care hospitals in Catalonia). Patients hospitalized with sepsis were detected on the basis of ICD-9-CM codes used to identify acute organ dysfunction and infectious processes. Results Of 4,761,726 discharges from all acute-care hospitals in Catalonia, 82,300 cases (1.72%) had sepsis diagnoses. Annual incidence was 212.7 per 100,000 inhabitants/year, rising from 167.2 in 2008 to 261.8 in 2012. Length of hospital stay fell from 18.4 to 15.3 days (p < .00001), representing a relative reduction of 17%. Hospital mortality fell from 23.7 to 19.7% (p < .0001), representing a relative reduction of 16.9%. These differences were confirmed in the multivariate analysis (adjusted for age group, sex, comorbidities, ICU admission, emergency admission, organ dysfunction, number of organ failures, sepsis source and bacteraemia). Conclusions Sepsis incidence has risen in recent years, whereas mortality has fallen. Our findings confirm reports for other parts of the world, in the context of scarce administrative data on sepsis in Europe.The study was partially funded by the Mataró Sepsis Challenge (www.sepsischallenge.cat) through the Fundació Salut del Consorci Sanitari del Maresme.SpringerOpenInstitut Català de la Salut[Yébenes JC] Critical Care Department, Hospital de Mataró, Mataró, Spain. Grup de Recerca en Sepsis, Imflamació i Seguretat (AGAUR 2014-SGR926), Barcelona, Spain. Escola Superior de Ciencies de la Salut, Universitat Pompeu Fabra, Mataró, Spain. Servei de Medicina Intensiva, Hospital de Mataró, Carretera de Cirera s/n, 08304 Mataró, Spain. [Ruiz-Rodriguez JC] Servei de Medicina Intensiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup Shock, Disfunció Orgànica i Ressucitació, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Ferrer R] Servei de Medicina Intensiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup Shock, Disfunció Orgànica i Ressucitació, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. CIBER Enfermedades Respiratorias, Madrid, Spain. [Clèries M, Bosch A] Divisió d’Anàlisi de la Demanda i l’Activitat, Servei Català de la Salut (CatSalut), Barcelona, Spain. [Lorencio C] Critical Care Department, Hospital Universitari Dr. Josep Trueta, Girona, SpainVall d'Hebron Barcelona Hospital Campus202120212017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/5894Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésAnnals of Intensive Care;7(1)https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-017-0241-1Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/58942026-05-29T05:05:01Z
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