From: Time to treatment and mortality for clinical sepsis subtypes
All | Clinical Sepsis Subtype | ||||
---|---|---|---|---|---|
⍺ | β | γ | δ | ||
No. (%) | 55,169 | 18,880 (34) | 16,381 (30) | 10,704 (19) | 9,204 (17) |
Patient demographics | |||||
Age at admission, med. [IQR] | 72 [60–83] | 63 [51–75] | 80 [71–87] | 73 [62–84] | 72 [61–83] |
Sex, No. (%) | |||||
Male | 28,636 (52) | 10,549 (56) | 7,847 (48) | 4,678 (44) | 5,382 (60) |
Female | 26,533 (48) | 8,331 (44) | 8,534 (52) | 6,026 (56) | 3,642 (40) |
Race, No. (%) | |||||
White | 36,634 (66) | 12,019 (64) | 11,451 (70) | 7,401 (69) | 5,763 (63) |
Black | 9,308 (17) | 3,458 (18) | 2,554 (16) | 1,533 (14) | 1,763 (19) |
Asian | 2,461 (4.5) | 768 (4.1) | 684 (4.2) | 537 (5.0) | 472 (5.1) |
Othera | 6,766 (12) | 2,635 (14) | 1,692 (10) | 1,233 (12) | 1,206 (13) |
Admission source, No. (%) | |||||
Home | 38,128 (69) | 14,069 (75) | 10,187 (62) | 7,628 (71) | 6,244 (68) |
Skilled nursing facility | 14,458 (26) | 3,867 (21) | 5,451 (33) | 2,526 (24) | 2,614 (28) |
Otherb | 2,583 (4.7) | 944 (5.0) | 743 (4.5) | 550 (5.1) | 346 (3.8) |
Coexisting condition, No. (%) | |||||
Chronic respiratory failure | 5,704 (10) | 795 (4.2) | 3,195 (20) | 687 (6.4) | 1,027 (11) |
Congestive heart failure | 10,968 (20) | 1,510 (8.0) | 6,452 (39) | 1,449 (14) | 1,557 (17) |
End-stage renal disease | 5,426 (9.8) | 880 (4.7) | 3,043 (19) | 603 (5.6) | 900 (9.8) |
Sepsis characteristics | |||||
Site of infection, No. (%) | |||||
Urinary | 15,134 (27) | 5,719 (30) | 4,153 (25) | 3,064 (29) | 2,198 (24) |
Respiratory | 22,048 (40) | 6,826 (36) | 7,628 (47) | 3,991 (37) | 3,603 (39) |
Gastrointestinal | 5,586 (10) | 1,504 (8.0) | 1,422 (8.7) | 1,411 (13) | 1,249 (14) |
Otherc | 12,401 (23) | 4,831 (26) | 3,178 (19) | 2,238 (21) | 2,154 (23) |
Positive blood cultures, No. (%) | 8,111 (15) | 2,264 (12) | 1,881 (12) | 1,977 (19) | 1,989 (22) |
Lactated, mmol/L, med. [IQR] | 2.7 [1.8–4.2] | 2.2 [1.5–3.1] | 2.3 [1.5–3.3] | 2.9 [2.0–4.2] | 7.0 [5.2–9.6] |
Septic shocke, No. (%) | 24,182 (44) | 4,188 (22) | 9,353 (57) | 4,315 (40) | 6,326 (69) |
Hypotension statusf, No. (%) | |||||
Fluid unresponsive | 16,117 (29) | 3,126 (17) | 5,730 (35) | 2,932 (27) | 4,329 (47) |
Responsive to fluids | 16,437 (30) | 5,172 (27) | 4,376 (26) | 3,580 (33) | 3,309 (36) |
In-hospital Outcomes | |||||
ICU admission, No. (%) | 30,923 (56) | 7,059 (37) | 11,419 (70) | 5,446 (51) | 6,999 (76) |
Length of stay, days, med. [IQR] | 8 [5–14] | 7 [4–13] | 9 [6–16] | 8 [5–14] | 8 [3–15] |
Mortality, No. (%) | 11,998 (22) | 1,905 (10) | 4,450 (27) | 1,867 (17) | 3,776 (41) |