Evaluating sepsis bundle compliance in the adult and older adult patient Public Deposited

Sepsis is one of the largest contributors of ICU and hospital admissions and hospital mortality. In particular, older patients (≥65 years) not only have a higher risk of developing sepsis than adult patients (<65 years), but also have a higher risk of mortality (Martin, Mannino, & Moss, 2006). While early recognition and prompt treatment that follows the Surviving Sepsis Campaign (SSC) guidelines for sepsis and septic shock have been proven to decrease hospital length of stay (LOS) and decrease hospital mortality, current compliance remains poor (Rhodes et al., 2015). Methods: This was a single-center, retrospective chart review, for quality improvement, that examined SSC guideline compliance of adult patients admitted from the ED to an inpatient unit between October 1, 2015 and September 30, 2016 with a diagnosis of severe sepsis or septic shock. Results: A total of 241 patients were included. There was a significant difference in overall SSC guideline compliance between adults and older adults (37.37% vs. 27.19%, p = .04486). There was no difference between age groups when compliance to the 3-hour bundle was measured (52.76% vs. 45.61%, p = .27006), nor was there any difference between age groups when compliance to the 6-hour bundle was measured (60.64% vs. 50.00%, p = .15095). Conclusion: Overall compliance with the entire SSC sepsis guidelines was significantly less in the older adult patient compared to the adult patient.

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