Comparing the demographic data and outcomes of septic shock patients presenting to teaching or non-teaching metropolitan hospitals in the United States

作     者：Ralph Bou Chebl Nadim Kattouf Mohamad Assaf Saadeddine Haidar Gilbert Abou Dagher Sarah Abdul Nabi Rana Bachir Mazen El Sayed Ralph Bou Chebl;Nadim Kattouf;Mohamad Assaf;Saadeddine Haidar;Gilbert Abou Dagher;Sarah Abdul Nabi;Rana Bachir;Mazen El Sayed

作者机构：Department of Emergency MedicineAmerican University of BeirutBeirut 11072020Lebanon 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2022年第13卷第6期

页      面：433-440页

核心收录：

学科分类：100218[医学-急诊医学] 1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 10[医学] 

主　　题：Sepsis Septic shock In-hospital mortality Hospital teaching status United States Epidemiology Outcome 

摘      要：BACKGROUND:Studies looking at the effect of hospital teaching status on septic shock related in-hospital mortality are *** aim of this study was to examine the effect of hospital teaching status on mortality in septic shock patients in the United ***:This was a retrospective observational study,using the Nationwide Emergency Department Sample Database(released in 2018).All patients with septic shock were *** sample logistic regression was performed to assess the impact of hospital teaching status on patient ***:A total of 388,552 septic shock patients were included in the *** average age was 66.93 years and 51.7%were *** of the patients presented to metropolitan teaching hospitals(68.2%)and 31.8%presented to metropolitan non-teaching *** shock patients presenting to teaching hospitals were found to have a higher percentage of medical comorbidities,were more likely to be intubated and placed on mechanical ventilation(50.5%vs.46.9%)and had a longer average length of hospital stay(12.47 d vs.10.20 d).Septic shock patients presenting to teaching hospitals had greater odds of in-hospital mortality compared to those presenting to metropolitan non-teaching hospitals(adjusted odd ratio[OR]=1.295,95%confidence interval[CI]:1.256-1.335).CONCLUSION:Septic shock patients presenting to metropolitan teaching hospitals had significantly higher risks of mortality than those presenting to metropolitan non-teaching *** also had higher rates of intubation and mechanical ventilation as well as longer lengths of hospital stay than those in non-teaching hospitals.