4753 Admissions without infection
1262 Admissions without sepsis
630 excluded
359 Re-admissions with sepsis 143 Discharged < 7 days prior
inclusion
4 Invalid personal identification number
124 Living outside the catchment area
Admissions with infection 3605 admissions
Admissions with sepsis of any severity
2343 admissions
Included patients Sepsis of any severity
1713 patients
Sepsis 621 patients
(36.3%)
Severe sepsis 1071 patients
(62.5%)
Study population
Admitted to the Medical ED from Sep 1st, 2010 to Aug 31st 2011
8358 admissions Admitted to the all
departments at the hospital from the open general ED
8649 contacts (44,102 contacts sent home)
Contacts:
854 443 798 20 32 12 3727
Admitted to:
Medical ED 3340 Directly to Medical ICU 161 Died in ED 12
Contacts:
3990 2570 1110 2309 1359 654 23,133
Admitted directly to the medical ED by general practitioners
4845 contacts Admitted directly to all departments at the hospital
39,970 contacts*
Septic shock 21 patients
(1.2%)
Data retrieved from:
FPAS
- Identification of contacts to other departments
Manual Chart Review - Defining infection Electronic Patient Records
- Defining SIRS and organ dysfunction Clinical Microbiology Database
- Defining community-acquired bacteremia
Clinical Biochemistry Database
- Defining SIRS and organ dysfunction
DNPR
- Prior hospitalizations, defining possible hospital-acquired infections
DCRS
- Personal identification numbers, residence in the catchment area Admitted at other departments:
Dept. of Cardiology Dept. of Surgery Dept. of Nephrology
Dept. of Neurology Dept. of Medical Oncology Dept. of Adult Hematology
Other departments
DNPR, OPED, DNATR, DCR
Data retrieved up to10 years prior date of inclusion.
- Charlson Comorbidity Index - Immunosuppression
- Alcohol-related disorders - Identification of contacts to the
medical emergency department