Table 1.
Characteristics and Outcomes of Sepsis Patients that Passed versus Failed SEP-1
| Clinical Characteristics | Pass (n=281) | Fail (n=570) | p-value |
|---|---|---|---|
| Median Age (IQR) | 68 (57-81) | 67 (57-80) | 0.319 |
|
| |||
| Male Sex | 155 (55.2%) | 303 (53.2%) | 0.582 |
|
| |||
| White Race | 223 (79.4%) | 446 (78.3%) | 0.710 |
|
| |||
| Median Elixhauser Score (IQR) | 11 (5-16) | 11 (5-17) | 0.608 |
|
| |||
| Academic vs Community Hospital | 144 (51.3%) | 301 (52.8%) | 0.668 |
|
| |||
| Discharged in Study Year 2 (vs Year 1) | 158 (56.2%) | 278 (48.8%) | 0.041* |
|
| |||
| Discharging Service | |||
| Medical | 206 (73.3%) | 407 (71.4%) | 0.560 |
| Surgical | 4 (1.4%) | 37 (6.5%) | 0.001* |
| Other | 71 (25.3%) | 125 (21.9%) | 0.277 |
|
| |||
| Sepsis Onset in Emergency Department | 232 (82.6%) | 421 (73.9%) | 0.005* |
|
| |||
| Hospital-Onset Sepsis (>48 hours from presentation) | 12 (4.3%) | 63 (11.1%) | 0.001* |
|
| |||
| Initial Sepsis Organ Dysfunction | |||
| Hypotension | 87 (31.0%) | 189 (33.2%) | 0.520 |
| Lactate >2 and <4 | 80 (28.5%) | 138 (24.2%) | 0.181 |
| Lactate ≥4 | 18 (6.4%) | 72 (12.6%) | 0.006* |
| Respiratory Failure | 13 (4.6%) | 37 (6.5%) | 0.277 |
| Creatinine >2 | 20 (7.1%) | 36 (6.3%) | 0.658 |
| Bilirubin >2 | 8 (2.9%) | 13 (2.3%) | 0.617 |
| Platelets <100 | 10 (3.6%) | 15 (2.6%) | 0.452 |
| INR >1.5 or PTT >60 | 4 (1.4%) | 9 (1.6%) | 0.862 |
| MD documentation of severe sepsis/septic shock | 41 (14.6%) | 61 (10.7%) | 0.101 |
|
| |||
| Septic Shock (Persistent Hypotension or Lactate ≥4) | 25 (8.9%) | 112 (19.7%) | <0.001* |
|
| |||
| Positive blood cultures | 75 (26.7%) | 160 (28.1%) | 0.672 |
|
| |||
| Explicit Infectious Symptoms at Presentation | 197 (70.1%) | 310 (54.4%) | <0.001* |
|
| |||
| Body Site Source of Infection | |||
| Pneumonia | 113 (40.2%) | 188 (33.0%) | 0.038* |
| Urinary Tract Infection | 66 (23.5%) | 137 (24.0%) | 0.860 |
| Intra-abdominal Infection | 50 (17.8%) | 105 (18.4%) | 0.824 |
| Other | 52 (18.5%) | 140 (24.6%) | 0.047* |
|
| |||
| Outcomes | |||
|
| |||
| Required ICU Stay | 142 (50.5%) | 299 (52.5%) | 0.598 |
|
| |||
| Median ICU Length of Stay (IQR) | 3 (2-6) | 4 (2-9) | 0.030* |
|
| |||
| Median Hospital LOS | 7 (5-12) | 8 (5-13) | 0.132 |
|
| |||
| In-Hospital Death | 31 (11.0%) | 105 (18.4%) | 0.006* |
Indicates statistically significant variables at p<0.05.