Search results for "Sepsis care"
Position paper calls on CMS to revise plan to pay for sepsis performance
Paying hospitals based on the SEP-1 bundle would divert attention and resources from more effective ways to provide comprehensive sepsis care, said medical groups including the Infectious Diseases Society of America and the Society of Hospital Medicine.
https://acphospitalist.acponline.org/archives/2023/10/25/position-paper-calls-on-cms-to-revise-plan-to-pay-for-sepsis-performance.htm
25 Oct 2023
Nearly 10% of ED patients meeting Sepsis-3 criteria did not have true infection
Of 812 patients meeting Sepsis-3 criteria in four studied EDs, 79 (9.7%) had only possible infection and 77 (9.5%) were not infected, according to later adjudication of the records by trained nonclinician reviewers.
https://acphospitalist.acponline.org/archives/2023/03/01/nearly-10-of-ed-patients-meeting-sepsis-3-criteria-did-not-have-true-infection.htm
1 Mar 2023
Proprietary sepsis prediction model not accurate in external validation study
The Epic Sepsis Model had low sensitivity and did a poor job identifying sepsis in hospitalized patients, researchers found. It also potentially increased alert fatigue, by generating alerts in 18% of hospitalized patients.
https://acphospitalist.acponline.org/weekly/archives/2021/06/30/3.htm
30 Jun 2021
Using old cultures to choose new antibiotics
Results from previous hospitalizations were used to guide empiric therapy.
https://acphospitalist.acponline.org/archives/2021/02/using-old-cultures-to-choose-new-antibiotics.htm
15 Feb 2021
More diuretics and more tips on heart failure
Optimize prescribing during and after heart failure hospitalization to improve care.
https://acphospitalist.acponline.org/archives/2020/12/more-diuretics-and-more-tips-on-heart-failure.htm
15 Dec 2020
Thiamine not associated with improved mortality in septic shock
In a retrospective observational study of more than 68,000 patients in Japan, the 28-day mortality rate was 19.2% in those who received thiamine soon after hospital admission versus 17.8% in those who did not.
https://acphospitalist.acponline.org/weekly/archives/2020/05/20/4.htm
20 May 2020
The debate over vitamin C for sepsis
Mixed trial results have stirred controversy.
https://acphospitalist.acponline.org/archives/2020/05/the-debate-over-vitamin-c-for-sepsis.htm
15 May 2020
Dynamic measures to guide fluid resuscitation may improve outcomes in septic shock
A randomized trial assigned patients with sepsis-associated hypotension to usual care or to assessment of fluid responsiveness with a passive leg raise before a fluid bolus was given or the vasopressor dose was increased.
https://acphospitalist.acponline.org/weekly/archives/2020/05/06/3.htm
6 May 2020
Steward your fluids
Deresuscitation may be the next step in optimizing sepsis care.
https://acphospitalist.acponline.org/archives/2020/04/steward-your-fluids.htm
15 Apr 2020
Postop deaths, sepsis projects
Summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2020/02/recent-research.htm
15 Feb 2020