Admission Site Tied to Mortality in Sepsis


Admission for sepsis through the ED, when compared with direct admission to the hospital, appears to be associated with lower early and overall inpatient mortality. Results from a large national sample of hospitalizations with a principal diagnosis of sepsis showed that overall sepsis inpatient mortality was 17.1% for ED admissions, compared with a 19.7% rate for direct admissions. Patients admitted through the ED:

Had a greater proportion of comorbid conditions.
Were more likely to have Medicaid or be uninsured.
Were more likely to be admitted to urban, large bed-size, or teaching hospitals.

Abstract: American Journal of Emergency Medicine, March 2012.

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