Paediatric anaesthesia & critical care
Healthcare Encounters in the Week Preceding a Sepsis Hospitalization in Pediatric Patients
Authors' conclusion
Over half of children hospitalized with sepsis were evaluated in the outpatient or emergency department setting in the week preceding admission, with one in five evaluated for infection.
Study context
- Population
- Children 0–18 years hospitalized with sepsis, 2016–2022, with 30 days of continuous insurance enrollment before admission (Merative MarketScan claims database)
- Participants
- 6,928 sepsis hospitalizations
- Exposure
- Sepsis hospitalizations with vs without pre-sepsis healthcare encounters
- Outcome
- Any healthcare encounter (outpatient, ED or inpatient visit) before sepsis hospitalization
- Follow-up
- 7 days before sepsis hospitalization
Methodological detailsadministrative claims database
- Administrative claims database
Main finding
As reported in the abstract
Any healthcare encounter within 7 days of admission (3707/928 as printed)
53.5%
Outpatient visit (2338/6928)
33.7%
ED visit (1956/6928)
28.2%
Inpatient hospitalization (431/6928)
6.2%
Observational data: associations, not effects.
Further findings
Infection-related diagnosis at the pre-admission encounter (among those with any encounter)
- Infection-related diagnosis documented (1445/3707)
- 38.9%
Mechanical ventilation, ICU use, LOS: with vs without pre-sepsis encounters
- No difference between those with vs without pre-sepsis healthcare encounters
Cohort characteristics
- Complex chronic condition (4452/6928)
- 64.3%
- Median age, years (IQR 3-15)
- 10
Original publication
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