Sepsis
Conditions
Brief summary
A study of short and long term mortality in patients treated with or without a diagnosis of sepsis in Swedish intensive care units (ICU) 2008 - 2016. The cohort is characterized with regard to chronic comorbidity, severity of acute illness and demographic factors, and outcome is adjusted for these factors. Changes in mortality during the period are studied.
Detailed description
All adult patients admitted to a general ICU included in the Swedish Intensive Care Registry (a majority of all ICUs in Sweden) between 2008-01-01 and 2016-10-18 are followed for one year and any deaths are registered. Data on illness severity scores, age, sex, admitting hospital and duration of ICU stay are recovered. Data are linked with the inpatient registry of the Swedish Board of Health and Welfare (Socialstyrelsen), and any discharge diagnoses from the last 5 years preceding ICU admission are recovered. These are used to assess chronic comorbidity. Mortality, adjusted for severity of illness, comorbidity and patient factors, is studied and any changes over time during the inclusion period are assessed. The data in the Swedish ICU Registry are entered by the treating ICU physicians and include severity of illness (Simplified Acute Physiology Score (SAPS)3), selected chronic comorbidity, sex and date of birth, ICU stay and selected interventions and complications. Relevant International Classification of Diseases (ICD)-10 diagnoses are required and assessment of the occurrence of severe sepsis or septic shock, during the inclusion period defined according to the American College of Chest Physicians/Society of Critical Care Medicine (ACCP/SCCM) (sepsis 2) criteria, is mandatory when entering data.
Interventions
OTHERICU care
exposure to ICU treatment with or without diagnosed sepsis
Sponsors
Uppsala University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Admission to a Swedish general ICU (excluding specialized cardiothoracic, neurosurgical, pediatric and burns units) between 2008-01-01 and 2016-10-18 * Episode registered in Swedish Intensive Care Registry
Exclusion criteria
* Age \< 18 years * Readmission (only first episode during the period included)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 30 day mortality | From the day of ICU admission until death of any cause , whichever came first, assessed up to 30 days. | mortality within 30 days after admission to ICU |
| 90 day mortality | From the day of ICU admission until death of any cause, whichever came first, assessed up to day 90. | mortality within 90 days after admission to ICU |
| 365 day mortality | From the day of ICU admission until death of any cause , whichever came first, assessed up to day 365. | mortality within 365 days after admission to ICU |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hospital mortality | From the day of ICU admission until death of any cause or day of hospital discharge, whichever came first, assessed up to day 365. | mortality before discharge from hospital after admission to ICU |
| ICU length of stay | From the day of ICU admission until death of any cause or day of ICU discharge, whichever came first, assessed up to day 365. | — |
| hospital length of stay | From the day of ICU admission until death of any cause or day of hospital discharge , whichever came first, assessed up to day 365. | — |
Outcome results
None listed