TABLE 3.
COMPARISON OF OUTCOMES OF EMERGENCY MEDICAL SERVICES ENCOUNTERS HOSPITALIZED WITH SEVERE SEPSIS, ACUTE MYOCARDIAL INFARCTION, AND STROKE
| Variable | Hospitalizations with Severe Sepsis (n = 13,249) | Hospitalizations with Acute MI (n = 9,069) | Hospitalizations with Stroke (n = 8,981) |
| Possible etiology of sepsis, no. (%)* | |||
| Respiratory | 8,154 (62) | — | — |
| Urological | 5,043 (38) | — | — |
| Gastrointestinal | 3,808 (29) | — | — |
| Skin, soft tissue, joint | 1,579 (12) | — | — |
| Central nervous system | 75 (1) | — | — |
| Cardiovascular | 105 (1) | — | — |
| Organ failures, no. (%) | |||
| Renal | 7,232 (55) | 1,148 (13) | 494 (6) |
| Pulmonary | 5,242 (40) | 978 (11) | 949 (11) |
| Cardiac | 2,279 (17) | 663 (7) | 85 (1) |
| Hematologic | 1,928 (15) | 223 (2) | 178 (2) |
| Neurological | 708 (5) | 112 (1) | 129 (1) |
| Hepatic | 277 (2) | 67 (1) | 13 (<1) |
| Total organ failures, mean (SD) | 1.41 (0.75) | 0.35 (0.7) | 0.21 (0.49) |
| Charlson Comorbidity Index, mean (SD) | 1.8 (1.7) | 2.17 (1.32) | 2.36 (1.48) |
| Admission to intensive care, no. (%) | 6,224 (52) | 4,460 (61) | 2,613 (35) |
| Hospital length of stay, d: median (IQR) | 6 (3–11) | 3 (2–5) | 3 (2–6) |
| Discharge disposition, no. (%)† | |||
| Expired | 2,596 (19.6) | 932 (10) | 1,076 (12) |
| Home | 3,812 (29) | 4,957 (55) | 2,778 (31) |
| Skilled nursing facility | 3,839 (29) | 1,308 (14) | 2,525 (28) |
| Long-term acute care | 150 (1) | 18 (<1) | 32 (<1) |
Definition of abbreviations: IQR = interquartile range; MI = myocardial infarction.
*
Possible etiologies of severe sepsis and the types of organ failures are not mutually exclusive categories.
†
Excludes categories such as home with health aid, transfer to acute care hospital, and unknown.