Search results for "Sepsis"
Sepsis can be classified into hypo- and hyperinflammatory phenotypes, researchers say
About a third of sepsis patients fit a hyperinflammatory phenotype, and they were more likely to benefit from activated protein C than those with a hypoinflammatory phenotype, a new analysis of existing study data found.
https://acphospitalist.acponline.org/archives/2023/08/30/sepsis-can-be-classified-into-hypo-and-hyperinflammatory-phenotypes-researchers-say.htm
30 Aug 2023
Elevated troponin I levels during sepsis may indicate risk for postsepsis CV complications
A U.S. retrospective study looked at rates of atherosclerotic disease, atrial fibrillation, and heart failure in the year after sepsis in patients with elevated troponin I levels and no previous diagnosis of cardiovascular (CV) disease.
https://acphospitalist.acponline.org/weekly/archives/2021/06/09/2.htm
9 Jun 2021
Goal-concordant care frequently not provided for sepsis patients, even when documented
In a retrospective study, 60% of patients who had survived sepsis did not have goals of care assessed before hospital discharge, and among those who did, 32% did not receive goal-concordant care.
https://acphospitalist.acponline.org/weekly/archives/2021/10/27/3.htm
27 Oct 2021
Position paper calls on CMS to revise plan to pay for sepsis performance
Paying hospitals based on the SEP-1 bundle would divert attention and resources from more effective ways to provide comprehensive sepsis care, said medical groups including the Infectious Diseases Society of America and the Society of Hospital Medicine.
https://acphospitalist.acponline.org/archives/2023/10/25/position-paper-calls-on-cms-to-revise-plan-to-pay-for-sepsis-performance.htm
25 Oct 2023
Surviving Sepsis Campaign releases updated guidelines for hospitalized adults
Topics covered among the 93 recommendations include screening and early treatment of sepsis, hemodynamic management, ventilation, additional therapies, and long-term outcomes and goals of care. Changes include which sepsis risk scores are recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/10/20/2.htm
20 Oct 2021
Debates in sepsis
Experts disagree about use of antibiotics, IV fluids, and quality measures.
https://acphospitalist.acponline.org/archives/2019/01/debates-in-sepsis.htm
15 Jan 2019
High-dose vitamin C not associated with improved mortality in sepsis
A systematic review and meta-analysis found that while high-dose IV vitamin C was associated with less vasopressor use and better SOFA scores, it did not appear to be linked to significant improvement in short-term mortality rates.
https://acphospitalist.acponline.org/weekly/archives/2021/09/15/4.htm
15 Sep 2021
A coding case study
A patient with sepsis provides a lesson in selecting and ordering diagnoses for documentation and coding.
https://acphospitalist.acponline.org/archives/2023/09/06/a-coding-case-study.htm
6 Sep 2023
ICU admission associated with worse outcomes in sepsis, better survival in acute respiratory failure
Patients admitted from the ED to the ICU with sepsis had worse survival and longer length of stay than those admitted to the wards, while patients with acute respiratory failure had better survival in the ICU than on a medical ward, a multicenter study found.
https://acphospitalist.acponline.org/weekly/archives/2021/12/08/3.htm
8 Dec 2021
Time to antibiotics matters for septic shock, not so much for sepsis without shock
Every hour that antibiotics were delayed was associated with higher mortality from septic shock, but patients with sepsis and no shock only had elevated risk of death if their antibiotics were not administered within six hours, according to a new analysis.
https://acphospitalist.acponline.org/archives/2023/08/09/time-to-antibiotics-matters-for-septic-shock-not-so-much-for-sepsis-without-shock.htm
9 Aug 2023