ArticleJournal of hospital medicine2014
Hospital readmission and healthcare utilization following sepsis in community settings.
Article in Journal of hospital medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
57 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Rate and risk factors for rehospitalisation in sepsis survivors: systematic review and meta-analysis.Intensive care medicine · 2020Pooled it
- Evidence for a causal link between sepsis and long-term mortality: a systematic review of epidemiologic studies.Critical care (London, England) · 2016Pooled it
- Trajectories of sepsis survivors in Australia: A scoping review.Journal of the Intensive Care Society · 2026Article
- Predictors of 30-day readmission in patients with bloodstream infection: a population-based cohort study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026Article
- Needs of Acute Respiratory Failure Survivors Throughout 1 Year of Recovery: A Qualitative Analysis Using the Timing It Right Framework.CHEST critical care · 2025Article
- Frequency of and Risk Factors for Increased Healthcare Utilization After Pediatric Sepsis Hospitalization.Critical care medicine · 2024Observational
- High-cost users after sepsis: a population-based observational cohort study.Critical care (London, England) · 2024Observational
- Post-discharge functional outcomes in older patients with sepsis.Critical care (London, England) · 2024Article
- Prediction of Readmission Following Sepsis Using Social Determinants of Health.Critical care explorations · 2024Article
- Readmission after thoracic endovascular aortic repair following blunt thoracic aortic injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Multidrug-Resistant Sepsis: A Critical Healthcare Challenge.Antibiotics (Basel, Switzerland) · 2024Review
- Care pathways of sepsis survivors: sequelae, mortality and use of healthcare services in France, 2015-2018.Critical care (London, England) · 2023Article
- Understanding Post-Sepsis Syndrome: How Can Clinicians Help?Infection and drug resistance · 2023Review
- One-year hospital readmission for recurrent sepsis: associated risk factors and impact on 1-year mortality-a French nationwide study.Critical care (London, England) · 2022Article
- Evaluation of Incident 7-Day Infection and Sepsis Hospitalizations in an Integrated Health System.Annals of the American Thoracic Society · 2022Article
- Impact of the implementation of a Sepsis Code Program in medical patient management: a cohort study in an Internal Medicine ward.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022Article
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- Cost of postoperative sepsis in Vietnam.Scientific reports · 2022Article
- Association between unmet medication needs after hospital discharge and readmission or death among acute respiratory failure survivors: the addressing post-intensive care syndrome (APICS-01) multicenter prospective cohort study.Critical care (London, England) · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundSepsis, the most expensive cause of hospitalization in the United States, is associated with high morbidity and mortality. However, healthcare utilization patterns following sepsis are poorly understood.
objectiveTo identify patient-level factors that contribute to postsepsis mortality and healthcare utilization. DESIGN, SETTING, PATIENTS: A retrospective study of sepsis patients drawn from 21 community-based hospitals in Kaiser Permanente Northern California in 2010. MEASUREMENTS: We determined 1-year survival and use of outpatient and facility-based healthcare before and after sepsis and used logistic regression to identify the factors that contributed to early readmission (within 30 days) and high utilization (≥ 15% of living days spent in facility-based care).
resultsAmong 6344 sepsis patients, 5479 (86.4%) survived to hospital discharge. Mean age was 72 years with 28.9% of patients aged <65 years. Postsepsis survival was strongly modified by age; 1-year survival was 94.1% for <45 year olds and 54.4% for ≥ 85 year olds. A total of 978 (17.9%) patients were readmitted within 30 days; only a minority of all rehospitalizations were for infection. After sepsis, adjusted healthcare utilization increased nearly 3-fold compared with presepsis levels and was strongly modified by age. Patient factors including acute severity of illness, hospital length of stay, and the need for intensive care were associated with early readmission and high healthcare utilization; however, the dominant factors explaining variability-comorbid disease burden and high presepsis utilization-were present prior to sepsis admission.
conclusionPostsepsis survival and healthcare utilization were most strongly influenced by patient factors already present prior to sepsis hospitalization.
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