Evidence map›Paper›PMID 41438280›Full record

ArticleIJID regions2026

Patterns and predictors of readmission among sepsis survivors in a tertiary emergency department in Ethiopia.

Meron H Biza, Chernet T Mengistie, Biruk T Mengistie, Mikiyas G Teferi, Tsion K Admas, Nardos B Feleke, Gadissa B Tafa, Finot Debebe, Tigist Worku

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in IJID regions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Hydrocelectomy Complication Rates in the United States.Research and reports in urology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Meron H BizaEmergency and Critical Care Medicine Department, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Chernet T MengistieSchool of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Biruk T MengistieSchool of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Mikiyas G TeferiSchool of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Tsion K AdmasEmergency and Critical Care Medicine Department, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Nardos B FelekeEmergency and Critical Care Medicine Department, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Gadissa B TafaEmergency and Critical Care Medicine Department, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Finot DebebeEmergency and Critical Care Medicine Department, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Tigist WorkuEmergency and Critical Care Medicine Department, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Sepsis is a leading cause of critical illness worldwide. Survivors often suffer long-term physical, cognitive, and psychological impairments. Post-sepsis rehospitalization is common but poorly characterized in low-resource settings. We aimed to determine 30/90/180-day readmission rates and predictors after emergency sepsis in Addis Ababa. Methods: We conducted a retrospective cohort study of adult patients meeting Sepsis-3 criteria (infection with ≥2-point rise in Sequential Organ Failure Assessment [SOFA]) admitted to a tertiary Ethiopian emergency department from 2019-2021. A modified SOFA score (five parameters) was used to define organ dysfunction, as has been validated for resource-limited settings. We recorded patient demographics, comorbidities (including cardiovascular disease and malignancy), acute severity (modified SOFA, septic shock, intensive care unit admission), microbiology, antibiotic duration, and outcomes. Survivors were followed for 180 days for hospital readmissions at any site of suspected infection. Multivariable logistic regression identified factors independently associated with 180-day readmission. Results: Of 110 sepsis patients, 39 (35.5%) died during index admission. Among 71 survivors, 32 (45.1%) were readmitted within 180 days (78.1% within 30 days; 15.6% days 31-90; 6.3% days 91-180). Infectious diagnoses accounted for 71.9% of readmissions (often recurrent pneumonia or urinary tract infection). Median time to first readmission was 16 days (interquartile range 5-41). Multivariable analysis showed higher odds of 180-day readmission in younger patients (adjusted odds ratio [OR] 2.53 per decade decrease in age, 95% confidence interval 1.09-5.87, Conclusions: Nearly half of emergency sepsis survivors were readmitted within 180 days, predominantly within 30 days, and most readmissions were for infection. Predictors included younger age, malignancy status, and length of stay. These findings highlight the need for targeted discharge planning, antimicrobial stewardship, and early follow-up for high-risk patients in low-resource settings.

Indexed as

EthiopiaHospital readmissionLow- and middle-income countries (LMICs)Post-discharge careSepsis readmissionSepsis survivors

Identifiers

PMID41438280
PMCPMC12719224

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.