Table 2.
Processes of care in women and men
Characteristic | All patients | Women | Men | Women vs men | Excluded women | Excluded men | Excluded women vs men |
---|---|---|---|---|---|---|---|
p value | p value | ||||||
Number of patients | 2720 | 1210 (44.5%) | 1510 (55.5%) | 172 | 239 | ||
Processes of care,% of patients | |||||||
EMS | |||||||
Arrival in ambulancea | 80.6 | 79.7 | 81.3 | 0.3 | 79.3 | 82.9 | 0.4 |
Saturation, SBP, RR, PR all measured and recorded in ambulance | 52.4 | 49.9 | 54.4 | 0.02 | 47.8 | 46.7 | 0.8 |
Oxygen and IV fluids in ambulance | 37.7 | 34.8 | 40 | 0.02 | 23.5 | 41.2 | 0.002 |
Emergency department | |||||||
All vital signs measured and recorded in ED | 61.8 | 60.9 | 62.6 | 0.37 | 59.9 | 59.9 | 1 |
Time to ABb median, IQR |
75 min, 34–150 |
87 min, 39–172 |
65 min, 30–136 |
0.0001 |
81 min, 46–200 |
61 min, 25–130 |
0.003 |
AB within 1 h | 43.6 | 38.6 | 47.6 | < 0.001 | 39.7 | 50.0 | 0.05 |
AB within 3 h | 80.6 | 77.1 | 83.5 | < 0.001 | 73.7 | 85.9 | 0.004 |
Iv fluids within 1 hc | 82.3 | 80.9 | 83.5 | 0.08 | 81.3 | 86.3 | 0.3 |
Lactate/BE measured < 1 h | 77.4 | 75.2 | 79.1 | 0.02 | 65.7 | 76.0 | 0.02 |
BC before ABd | 93.6 | 91.8 | 95.1 | 0.001 | 94.5 | 95.4 | 0.8 |
Lactate within 1 h | 70.4 | 68.4 | 72 | 0.09 | 60 | 68.8 | 0.1 |
Bundle1he | 36.4 | 30 | 41.5 | < 0.001 | 31.3 | 45.4 | 0.05 |
ICU | – | – | |||||
Composite NWS median, IQR (mean, SD)f |
2, 1–3 (2.35 ± 1.14) |
2, 1–3 (2.36 ± 1.14) |
2, 1–3 (2.35 ± 1.15) |
0.84 | – | – | |
Mechanical ventilation | 30.1 | 29.3 | 30.7 | 0.43 | – | – | |
Incorrect AB | 7.5 | 7.1 | 7.8 | 0.49 | 3.5 | 4.2 | 0.7 |
Treatment limitations 48 h | 20.2 | 20.2 | 20.2 | 0.98 | 12.8 | 15.2 | 0.5 |
AB antibiotics, BC blood culture, BE base excess, BT body temperature, Bundle1h completed sepsis bundle within one hour, EMS emergency medical services, ED emergency department, IQR interquartile range, NWS nursing workload score, PR pulse rate, RR respiratory rate, SBP systolic blood pressure, SD standard deviation. Excluded patients = patients who were not registered in SIR or who lacked SAPS3 data
aData missing for 85 patients (3%)
bData missing for 311 patients (11%)
cData missing for 228 patients (8%)
dData missing for 336 patients (12%)
eComplete data missing for 662 patients (24%)
fData missing for 52 patients (2%)