AI Article Synopsis
- The study evaluated the effectiveness of Surviving Sepsis Campaign guidelines implemented in 2006 at a surgical intensive care unit, with a focus on whether adding a surgical intensivist improved patient outcomes.
- Data from 273 patients showed that while all treatment methods significantly decreased the length of stay and mortality, the group treated with both guidelines and a surgical intensivist had the best results.
- The findings concluded that using evidence-based guidelines along with a surgical intensivist reduced both patient hospital stay and costs, and led to lower mortality rates compared to using the guidelines alone.
Article Abstract
Background: Our institution initiated the implementation of the Surviving Sepsis Campaign guidelines in 2006. We hypothesize that the addition of a surgical intensivist improved results more than the implementation of the guidelines alone.
Methods: We collected data on 273 patients who were admitted to the surgical intensive care unit for sepsis. The groups were divided into pre-bundle, n = 19; bundle, n = 186; and bundle-plus, n = 68, to denote the method by which the patients were treated for sepsis.
Results: There was no difference in age or sex between groups. There was a statistically significant decrease in length of stay (LOS) between the 3 groups, and in mortality between the bundle and bundle-plus treatment groups (P < .01). In addition, there was an average cost savings between each group.
Conclusions: Implementation of evidence-based guidelines decreased LOS and decreased cost in our surgical intensive care unit. By adding the expertise of a surgical intensivist, we reduced LOS, cost, and relative risk of death even further than using the guidelines alone.
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| http://dx.doi.org/10.1016/j.amjsurg.2010.09.013 | DOI Listing |
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