TABLE 1.
Other Notable Findings
| References | Noteworthy Findings |
|---|---|
| Liu et al (16) | Primary and specialty care visits increased the week leading up to admission (16.2% of Kaiser Permanente Northern California and 23.0% of Veterans Affairs patients seen on the day of admission) |
| The use of antibiotics increased steadily in the 7 d prior to sepsis hospitalization, and 27.0–34.2% of patients with a presepsis encounter had ≥ 1 acute infection diagnosis | |
| Loots et al (17) | No significant differences between characteristics of patients with and without general practitioner encounter before sepsis hospitalization |
| 43% of patients with a general practitioner encounter not suspected of having infection. These patients tended to be older, and mortality rates nearly three times higher than those patients initially suspected of infection in the general practitioner encounter | |
| Buchman et al (15) | The pattern of claims in the week prior to hospitalization were indistinguishable between patients with a sepsis and nonsepsis hospitalization, however, those patients with a sepsis admission were more likely to have diagnosed fever, conditions predisposing to infection or infection in the past year |
| Patients with a sepsis admission were 2.8 times more likely to have claims for services in nursing facilities in the week prior to hospital admission compared with patients without a sepsis admission | |
| Fay et al (9) | For patients ≥ 65 yr, a visit to primary care or outpatient medical specialist was the most common outpatient medical encounter. For patients ≤ 64 yr ED and urgent care visits were more common. 73.4% of patients receiving prehospital medical treatment within 30 d of admission were receiving antibiotics |
| Cecil et al (19) | A 5-min increase in consultation time was associated with a reduction in odds of self-referral for emergency hospital admission for sepsis (odds ratio, 0.91; 95% CI, 0.85–0.96) |
| Miller et al (18) | In clinic, 65.2% of patients had abnormal vital signs and/or quick Sequential Organ Failure Assessment score ≥ 1 |
| Infectious symptoms documented in 80.5% of patients | |
| 62.7% of patients referred directly to the ED |
ED = emergency department.