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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

Referensi

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