Sepsis & infection

Sepsis Order Set Use Associated With Increased Care Value

ChestPublished Retrospective cohort study

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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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