Crit Care: Hospital levels are associated with mortality in patients with sepsis after discharge

Death after discharge is common in hospital patients with sepsis, but the drivers of death after discharge are not yet clear.
recently, a study published in The Journal of Critical Medicine, an authoritative journal in critical care, examined the assumption that hospitals with higher risk-adjusted sepsis mortality rates also have higher post-hospital mortality and readjustment rates.
researchers conducted a retrospective cohort study of Medicare beneficiaries hospitalized for sepsis between January 2013 and December 2014, followed survivors 180 days after discharge, and measured mortality, re-admission rates, and the number of people admitted to care facilities.
the risk of sepsis in hospitalized patients (observation: expected) was the main exposure factor.
the queue included 830,721 patients hospitalized for sepsis, with a 20 percent hospitalization mortality rate and a 90-day mortality rate of 48 percent.
higher hospital-specific sepsis risk adjusted mortality was associated with an increase in mortality 90 days after discharge (hospital inpatient observation: 0.1 per increase in expected value, aOR 1.03, 95% CI 1.03-1.04).
higher hospital risk adjusted mortality rates were also associated with increased likelihood of discharge to care facilities (aOR 1.03, 95% CI 1.02-1.03) and 90 days of re-admission (aOR 1.03, 95% CI 1.02-1.03).
Thus, hospitals with the highest risk-adjusted mortality rates for sepsis inpatients have higher mortality rates and higher re-admission rates, indicating that post-discharge complications are a changeable risk factor and may be affected during hospitalization.