Inpatient Care for Septicemia or Sepsis: A Challenge for Patients and Hospitals || Products - Data Briefs - Number 62 - June 2011

full-text ►Products - Data Briefs - Number 62 - June 2011: "NCHS Data Brief
Number 62, June 2011

Inpatient Care for Septicemia or Sepsis: A Challenge for Patients and Hospitals


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* Key findings
* Hospitalization rates for septicemia or sepsis more than doubled from 2000 through 2008.
* Hospitalization rates for sepsis or septicemia were similar for males and females and increased with age.
* Patients hospitalized for septicemia or sepsis were more severely ill than patients hospitalized for another diagnosis.
* Patients hospitalized for septicemia or sepsis stayed longer than other inpatients.
* Patients hospitalized for septicemia or sepsis were more than eight times as likely to die during their hospitalization.
* Summary
* Definitions
* Data source and methods
* About the authors
* References
* Suggested citation

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Margaret Jean Hall, Ph.D.; Sonja N. Williams, M.P.H.; Carol J. DeFrances, Ph.D.; and Aleksandr Golosinskiy, M.S.


Key findings

Data from the National Hospital Discharge Survey, 2008

* The number and rate per 10,000 population of hospitalizations for septicemia or sepsis more than doubled from 2000 through 2008.
* The hospitalization rates for septicemia or sepsis in 2008 were similar for males and females and increased with age.
* Patients under age 65 and aged 65 and over who were hospitalized for septicemia or sepsis in 2008 were sicker and stayed longer than those hospitalized for other conditions.
* In 2008, the proportion of hospitalized patients who were discharged to other short-stay hospitals or long-term care institutions was higher for those with septicemia or sepsis (36%) than for those with other conditions (14%). Seventeen percent of septicemia or sepsis hospitalizations ended in death, whereas only 2% of other hospitalizations did.

Septicemia and sepsis are serious bloodstream infections that can rapidly become life-threatening. They arise from various infections, including those of the skin, lungs, abdomen, and urinary tract (1,2). Patients with these conditions are often treated in a hospital's intensive care unit (3). Early aggressive treatment increases the chance of survival (4). In 2008, an estimated $14.6 billion was spent on hospitalizations for septicemia, and from 1997 through 2008, the inflation-adjusted aggregate costs for treating patients hospitalized for this condition increased on average annually by 11.9% (5).

Despite high treatment expenditures, septicemia and sepsis are often fatal (6). Those who survive severe sepsis are more likely to have permanent organ damage (7), cognitive impairment, and physical disability (8). Septicemia is a leading cause of death (9). The purpose of this report is to describe the most recent trends in care for hospital inpatients with these diagnoses.

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