A difficult question! You have to ask in terms of sepsis, severe sepsis and septic shock.
Then you have to decide what kind of data to use as an estimate. Discharge administrative data sets based on ICD-9 and DRG or some other manual process like a trial. What I can tell you is that in the Midas Comparative database, which has administrative data from 750 US hospitals, the p50 for severe sepsis and septic shock combined mortality is 26%. That represents an awful lot of community hospitals (almost 15% of US hospitals) and so in some ways is nice data. This is one if the major reasons that the ProCESS trial does not look like most US hospitals -- and the error in of overly relying on it to change your standards. So for example, if you do not have 18% SHOCK ALONE mortality and 57.6% central line insertion rate, as in the control group of ProCESS, you do not look much like ProCESS. The question is can you afford to alter your standards at this moment, or is it sensible to do so when the trial doesn't reflect your care? Sean Sean R. Townsend, M.D. Vice President of Quality & Safety California Pacific Medical Center 2330 Clay Street, #301<x-apple-data-detectors://0/0> San Francisco, CA 94115<x-apple-data-detectors://0/0> email [email protected]<mailto:[email protected]> office (415) 600-5770<tel:(415)%20600-5770> fax (415) 600-1541<tel:(415)%20600-1541> On Mar 26, 2014, at 7:08 AM, "Ogunrinu, Victoria ARMC-Administration" <[email protected]<mailto:[email protected]>> wrote: What is the National Average for Sepsis Mortality rate?. Would someone please share the source? Thank you, Victoria Ogunrinu, RN, CNS, MSN, MPH Assistant Hospital Administrator - DSRIP Arrowhead Regional Medical Center 400 N. Pepper Ave. Colton, CA 92324 •(909) 580-6366. Pager: (909) 349-8303 •[email protected]<mailto:[email protected]> <image001.jpg> CONFIDENTIALITY NOTICE: This communication contains privileged and confidential information sent solely for the use of the intended recipient. If you are not the intended recipient of this communication you are not authorized to use it in any manner, except to immediately destroy it and notify the sender. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
