2026-05-20T23:32:36Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/73762024-09-27T22:02:44Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19609
Repisalud
author
Álvaro-Meca, Alejandro
author
Jimenez-Sousa, Maria Angeles
author
Micheloud, Dariela
author
Sánchez-Lopez, Ainhoa
author
Heredia-Rodríguez, María
author
Tamayo, Eduardo
author
Resino, Salvador
author
Group of Biomedical Research in Critical Care Medicine (BioCritic)
author
Fernandez-Rodriguez, Amanda
author
Martinez, Isidoro
funder
Instituto de Salud Carlos III
funder
Junta de Castilla y León (España)
2019-03-26T13:19:51Z
2019-03-26T13:19:51Z
2018-02-12
Popul Health Metr. 2018 Feb 12;16(1):4
10.1186/s12963-018-0160-x
1478-7954
Population health metrics
29433513
http://hdl.handle.net/20.500.12105/7376
BACKGROUND: Sepsis has represented a substantial health care and economic burden worldwide during the previous several decades. Our aim was to analyze the epidemiological trends of hospital admissions, deaths, hospital resource expenditures, and associated costs related to sepsis during the twenty-first century in Spain. METHODS: We performed a retrospective study of all sepsis-related hospitalizations in Spanish public hospitals from 2000 to 2013. Data were obtained from records in the Minimum Basic Data Set. The outcome variables were sepsis, death, length of hospital stay (LOHS), and sepsis-associated costs. The study period was divided into three calendar periods (2000-2004, 2005-2009, and 2010-2013). RESULTS: Overall, 2,646,445 patients with sepsis were included, 485,685 of whom had died (18.4%). The incidence of sepsis (events per 1000 population) increased from 3.30 (2000-2004) to 4.28 (2005-2009) to 4.45 (2010-2013) (p < 0.001). The mortality rates from sepsis (deaths per 10,000 population) increased from 6.34 (2000-2004) to 7.88 (2005-2009) to 7.89 (2010-2013) (p < 0.001). The case fatality rate (CFR) or proportion of patients with sepsis who died decreased from 19.1% (2000-2004) to 18.4% (2005-2009) to 17.9% (2010-2013) (p < 0.001). The LOHS (days) decreased from 15.9 (2000-2004) to 15.7 (2005-2009) to 14.5 (2010-2013) (p < 0.001). Total and per patient hospital costs increased from 2000 to 2011, and then decreased by the impact of the economic crisis. CONCLUSIONS: Sepsis has caused an increasing burden in terms of hospital admission, deaths, and costs in the Spanish public health system during the twenty-first century, but the incidence and mortality seemed to stabilize in 2010-2013. Moreover, there was a significant decrease in LOHS in 2010-2013 and a decline in hospital costs after 2011.
eng
Case fatality rate
Cost
Epidemiology
Hospital resources
Length of hospital stay
Mortality
Sepsis
Epidemiological trends of sepsis in the twenty-first century (2000-2013): an analysis of incidence, mortality, and associated costs in Spain
journal article
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EpidemiologicalTrendsSepsis_2018.pdf
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Supplementary_EpidemiologicalTrendsSepsis_2018.pdf
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EpidemiologicalTrendsOfSepsis_2018.pdf.txt
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