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Status of Sepsis Care in European Hospitals: Results from an International Cross-Sectional Survey
CS. Scheer, EJ. Giamarellos-Bourboulis, R. Ferrer, EA. Idelevich, D. Annane, A. Artigas, AT. Aslan, G. Bottari, HR. Bouma, V. Černý, R. Curić Radivojević, K. Dakou, K. Dewitte, M. Elbahnasawy, M. Gründling, M. Gurjar, J. Hästbacka, M. Kyprianou,...
Jazyk angličtina
Typ dokumentu časopisecké články
Grantová podpora
educational grant, BD was neither involved in the
Becton Dickinson S.A. (BD) - United States
educational grant
European Sepsis Alliance - United States
- MeSH
- antibiotická politika MeSH
- dodržování směrnic * statistika a číselné údaje MeSH
- jednotky intenzivní péče normy MeSH
- lidé MeSH
- nemocnice * normy statistika a číselné údaje MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- sepse * terapie diagnóza MeSH
- směrnice pro lékařskou praxi jako téma MeSH
- urgentní služby nemocnice normy MeSH
- zlepšení kvality * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
Rationale: Early detection, standardized therapy, adequate infrastructure, and strategies for quality improvement should constitute essential components of every hospital's sepsis plan. Objectives: To investigate the extent to which recommendations from the sepsis guidelines are implemented and the availability of infrastructure for the care of patients with sepsis in acute-care hospitals. Methods: A multidisciplinary cross-sectional questionnaire was used to investigate sepsis care in hospitals. This included the use of sepsis definitions, the implementation of sepsis guideline recommendations, diagnostic and therapeutic infrastructure, antibiotic stewardship, and quality improvement initiatives (QIIs) in hospitals. Measurements and Main Results: A total of 1,023 hospitals in 69 countries were included. Most of them, 835 (81.6%), were in Europe. Sepsis screening was used in 54.2% of emergency departments (EDs), 47.9% of wards, and 61.7% of ICUs. Sepsis management was standardized in 57.3% of EDs, 45.2% of wards, and 70.7% of ICUs. The implementation of comprehensive QIIs was associated with increased screening (EDs, +33.3%; wards, +44.4%; ICUs, +23.8% absolute difference) and increased standardized sepsis management (EDs, +33.6%; wards, +40.0%; ICUs, +17.7% absolute difference) compared with hospitals without QIIs. A total of 9.8% of hospitals had implemented ongoing QIIs, and 4.6% had invested in sepsis programs. Conclusions: 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. Further efforts are required to implement a more comprehensive and appropriate quality of care.
1st Department of Anesthesiology and Intensive Therapy Medical University of Lublin Lublin Poland
Clinic for Anesthesiology Reanimation and Intensive Care University Clinical Center Niš Nis Serbia
Department of Emergency Medicine and Traumatology Tanta University Tanta Egypt
Department of Emergency Medicine Odense University Hospital Odense Denmark
Department of Infectious Diseases Italian National Institute of Health Rome Italy
Department of Internal Medicine Hacettepe University Ankara Turkey
Department of Medical Microbiology St Olav's Hospital Trondheim University Hospital Trondheim Norway
Departments of Biomedicine and Clinical Research University of Basel Basel Switzerland
Division of Internal Medicine University Hospital Basel Basel Switzerland
Emergency Department Antwerp University Hospital Antwerp Belgium
Institute of Bioinformatics University Medicine Greifswald Greifswald Germany
Institute of Medical Microbiology University Hospital Münster Münster Germany
Medical Data Management Medaman Geel Belgium
Service de Réanimation Hôpital Raymond Poincaré Assistance Publique Hôpitaux de Paris Garches France
The Hellenic Institute for the Study of Sepsis Athens Greece
Université Versailles Saint Quentin Versailles France
University of Medicine and Pharmacy Carol Davila Bucharest Romania
Citace poskytuje Crossref.org
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