Sepsis Order Set Use Associated With Increased Care Value
Authors' conclusion
Receipt of the sepsis order set was associated with improved value of care, from both a hospital and societal perspective.
Study context
- Population
- Patients hospitalised and discharged with sepsis ICD codes over 2 years, large integrated delivery system55,542 propensity matched
- Participants
- 97,249 patients
- Exposure
- Sepsis order set vs no order set
- Sepsis order setn = 27,771
- Nonusersn = 27,771reference
- Outcome
- Value of care: hospital mortality, hospital direct variable costs and societal spending on hospitalisations
Methodological detailspropensity-score matched, large integrated delivery system, 52,793 patients (54%) received the sepsis order set
- Propensity-score matched
- Large integrated delivery system
- 52,793 patients (54%) received the sepsis order set
Main finding
As reported in the abstract
Value of care (propensity-matched)
Hospital mortality rate lower with sepsis order set (P < .01)
3.3%
Median direct variable total cost lower with sepsis order set (P < .01)
$1,487
Median payer-neutral reimbursement (proxy for hospital revenue and societal costs) lower with sepsis order set (P < .01)
$465
Increase in contribution margin per patient with sepsis order set
$1,022
Observational data: associations, not effects.
Original publication
Sepsis Order Set Use Associated With Increased Care Value. Chest. Published 19 June 2024. doi:10. 1016/ j. chest. 2024. 05. 032
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