Status of Sepsis Care in European Hospitals: Results from an International Cross-Sectional Survey
Authors' conclusion
The findings indicate that there is considerable room for improvement in a large number of mainly European hospitals, particularly with regard to early identification and standardized management of sepsis, the availability of guidelines, diagnostic and therapeutic infrastructure, and the implementation of QIIs.
Study context
- Population
- Acute-care hospitals in 69 countries, mainly European, caring for patients with sepsis835 (81.6%) in Europe
- Participants
- 1,023 participants
- Exposure
- Hospitals with comprehensive quality improvement initiatives (QIIs) vs hospitals without QIIs
- Outcome
- Sepsis screening and standardized sepsis management
Methodological detailsmultidisciplinary questionnaire survey, international
- Multidisciplinary questionnaire survey
- International
Main finding
As reported in the abstract
- Sepsis screening used in emergency departments (EDs)
- 54.2%
- Sepsis screening used in wards
- 47.9%
- Sepsis screening used in ICUs
- 61.7%
- Standardized sepsis management in EDs
- 57.3%
- Standardized sepsis management in wards
- 45.2%
- Standardized sepsis management in ICUs
- 70.7%
- Hospitals with ongoing QIIs
- 9.8%
- Hospitals that invested in sepsis programs
- 4.6%
Observational data: associations, not effects.
Further findings
| Outcome | Absolute difference |
|---|---|
| Sepsis screening, comprehensive QIIs vs no QIIsComprehensive QIIs vs Without QIIs · EDs | +33.3% |
| Sepsis screening, comprehensive QIIs vs no QIIsComprehensive QIIs vs Without QIIs · wards | +44.4% |
| Sepsis screening, comprehensive QIIs vs no QIIsComprehensive QIIs vs Without QIIs · ICUs | +23.8% |
| Standardized sepsis management, comprehensive QIIs vs no QIIsComprehensive QIIs vs Without QIIs · EDs | +33.6% |
| Standardized sepsis management, comprehensive QIIs vs no QIIsComprehensive QIIs vs Without QIIs · wards | +40.0% |
| Standardized sepsis management, comprehensive QIIs vs no QIIsComprehensive QIIs vs Without QIIs · ICUs | +17.7% |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Status of Sepsis Care in European Hospitals: Results from an International Cross-Sectional Survey. Am J Respir Crit Care Med. Published 1 April 2025. doi:10.
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