In-Hospital vs 30-Day Sepsis Mortality at US Safety-Net and Non–Safety-Net Hospitals
Authors' conclusion
In this cohort study, among patients with sepsis, admission to safety-net hospitals was associated with higher in-hospital mortality but not with 30-day mortality.
Study context
- Population
- Medicare fee-for-service beneficiaries aged ≥66 y admitted with sepsis to an ICU, 2011–2019666 safety-net, 1924 non-safety-net hospitals
- Participants
- 2,551,743 beneficiaries
- Exposure
- Safety-net vs non-safety-net hospitals
- Outcome
- Coprimary: in-hospital mortality and 30-day mortality
Methodological detailsnational, Medicare fee-for-service
- National
- Medicare fee-for-service
Main finding
As reported in the abstract
In-hospital mortality and 30-day mortality (coprimary)
Safety-net hospitals vs Non-safety-net hospitalsOdds ratio (95% CI)
In-hospital mortality
1.09(1.06–1.13)
30-day mortality
1.01(0.99–1.04)
Observational data: associations, not effects.
Secondary outcomes
| Outcome | OR (95% CI) | |
|---|---|---|
| In-hospital do-not-resuscitate orders | 0.86 (0.81–0.91) | |
| In-hospital palliative care delivery | 0.66 (0.60–0.73) | |
| Discharge to hospice | 0.82 (0.78–0.87) | |
| Discharge to postacute facility | 0.98 (0.95–1.01) | |
| 0.512Odds ratio (log scale) |
Original publication
In-Hospital vs 30-Day Sepsis Mortality at US Safety-Net and Non–Safety-Net Hospitals. JAMA Netw Open. Published 1 May 2024. doi:10.
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