50
■
Acute Care
■
Home Health Service
Other
Residential Care
■
Home
( Routine)
■
Skilled Nursing/Intermediate
Care
■
Hospice
Ca
re
45
40
35
30
c
~
:;;
25
Cl.
20
15
10
0
2010 2011 2012 2013 2014 2015 2016
** In-hospital death was excluded.
Data Pulse,
OS
H
PD
a
October 2018
Severe Sepsis: 30-Day Mortality
Sepsis is caused by the body’s inflammatory response to
uncontrolled infections, and it impacts over 1.5 million people in the
United States yearly (CDC basic information sepsis, updated
September 2016; CDC Vital Signs 2016). In California alone,
sepsis charges totaled $36.8 billion in 2016. Sepsis is a
preventable, life threatening medical condition for which the
number of cases and deaths has increased over the past several
years. If not treated properly, sepsis can result in a severe
condition with multiple organ failure (severe sepsis) and death.
This Data Pulse presents information on patients who were alive at
discharge and died within 30 days of discharge from 2010 to 2016.
Key Findings:
u
From 2010 to 2016, the majority of severe sepsis patients who
died within 30 days following discharge died at a skilled nursing
facility. Although the percent gradually declined over the years, a
notable decrease occurred in 2015 with the introduction of
Hospice Care as a discharge category.
u
In 2016, Hospice Care was the most common discharge
category, surpassing skilled nursing facility.
u
The percent of hospital-acquired severe sepsis patients who died
within 30 days of discharge decreased appreciably while the
percent of non-hospital-acquired severe sepsis patients
increased slightly.
Figure 1. Place/Location where Severe Sepsis Patients were Discharged
or Transferred to Among those who Died within 30 days
of Discharge**, 2010-2016
OSHPD Home CHHS Open Data
Information About Sepsis
The following symptoms are
signs of sepsis: shivering,
fever, or very cold; extreme
pain or discomfort, clammy or
sweaty skin, confusion or
disorientation, shortness of
breath, and high heart rate
(CDC: making healthcare
safer updated July 2017,
CDC Vital Signs 2016).
Although any person can
contract sepsis, some people
are at an increased risk,
including those over the age of
65, persons with chronic
medical conditions, and those
with weakened immune
systems (www.CDC.gov/
sepsis/what-is-sepsis.html).
Sepsis can be acquired while
a patient is hospitalized for
another illness or procedure;
these are referred to as
hospital-acquired cases.
