Table 2.
PICU and hospital length of stay, illness severity, organ dysfunction, and mortality outcomes in sepsis protocol patients vs non-protocol (usual care) patients.
Sepsis Protocol | Odds Ratio (95% CI) | p | ||
---|---|---|---|---|
| ||||
Yes (n=121) | No (n=68) | |||
|
||||
Length of Stay (Median hours, IQR) | ||||
PICU LOS | 69.0 (35.8–120.9) | 196.5 (100.5–339.7) | <0.001 | |
Hospital LOS | 140.0 (93.5–237.6) | 347.7 (211.8–557.9) | <0.001 | |
Illness severity score on PICU arrival (Median, IQR) | ||||
PIM2 | 1.1 (1.0, 2.1)) | 3.6 (1.0, 4.9) | 0.14 | |
PRISM | 3 (0,10) | 6 (3, 10) | 0.10 | |
PICU Care Requirements | ||||
Ever needed vasoactive support n(%) | 48 (39.6) | 18 (26.9) | 1.4 (0.9, 2.3) | 0.10 |
Ever needed invasive mechanical ventilation | 8 (6.6) | 11 (16.4) | 0.4 (0.2, 0.9) | 0.03 |
Ever needed PRBC transfusion | 8 (6.6) | 2 (3.0) | 2.2 (0.5, 10.1) | 0.3 |
Bacterial organism isolated | 42 (34.7) | 24 (35.8) | 0.9 (0.6, 1.4) | 0.7 |
Transfer to higher level of care n (%) | ||||
Floor to PICU transfer <24h | 10 (8.2) | 18 (26.9) | 0.3 (0.2, 0.6) | 0.006 |
Organ Dysfunction | ||||
Organ dysfunction free on hospital admission | 18 (14.9) | 11 (16.4) | 0.9 (0.4, 2.0) | 0.80 |
Organ dysfunction free D1 | 49 (40.5) | 9 (13.4) | 4.4 (2.0, 9.7) | <0.001 |
Organ dysfunction free D2 | 61 (50.4) | 11 (16.4) | 5.2 (2.5, 10.8) | <0.001 |
Developed new organ dysfunction on D1 or D2 | 5 (4.1) | 11 (16.4) | 0.3 (0.1, 0.7) | 0.004 |
Mortality | ||||
In hospital mortality | 4 (3.3) | 2 (2.9) | 1.1 (0.2, 5.9) | 0.9 |