Analysis of Structure Indicators Influencing 3-h and 6-h Compliance with the Surviving Sepsis Campaign Guidelines in China: a Systematic Review

Overview

Journal Eur J Med Res

Publisher Biomed Central

Specialty General Medicine

Date 2021 Mar 20

PMID 33741043

Citations 3

Authors

Lu Wang

Xudong Ma

Huaiwu He

Longxiang Su

Yanhong Guo

Guangliang Shan

Xiang Zhou

Dawei Liu

Yun Long

Affiliations

Soon will be listed here.

Abstract

Background: Compliance with the surviving sepsis campaign (SSC) guidelines (C) is a key factor affecting the effects of sepsis treatment. We designed this study to investigate the relationships of the structure indicators of ICU on 3 and 6-h C in China.

Methods: A total of 1854 hospitals were enrolled in a survey, led by the China National Critical Care Quality Control Center (China-NCCQC) from January 1, 2018, through December 31, 2018. We investigated the 1854 hospitals' 3 and 6-h C, including compliance with each specific measure of the 3-h and 6-h SSC bundles. We also investigated the actual level of the structure indicators of ICU, released by China-NCCQC in 2015.The outcomes were in adherence with the SSC guidelines (2016). Monitoring indicators included 3 and 6-h C.

Results: In the subgroup, the rate of broad-spectrum antibiotic therapy was the highest, and the rate of CVP and ScvO2 measurement was the lowest among the items of 3 and 6-h C. Structure indicators related to 3 and 6-h C include the predicted mortality rate and the standardized mortality ratio (SMR). The relationships between 3 and 6-h C and the proportion of ICU in total inpatient bed occupancy, the proportion of acute physiology and chronic health evaluation (APACHE) II score ≥ 15 in all ICU patients were uncertain. There was no relationship of 3 and 6-h C with the proportion of ICU patients among total inpatients.

Conclusions: Structure indicators influencing 3 and 6-h C in China are the predicted mortality rate and the standardized mortality rate.

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