Quality improvement initiatives in sepsis in an emerging country: does the institution’s main source of income influence the results? an analysis of 21,103 patients

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MetadadosDescriçãoIdioma
Autor(es): dc.creatorMachado, Flavia R.-
Autor(es): dc.creatorFerreira, Elaine M.-
Autor(es): dc.creatorSousa, Juliana Lubarino-
Autor(es): dc.creatorSilva, Carla-
Autor(es): dc.creatorSchippers, Pierre-
Autor(es): dc.creatorPereira, Adriano-
Autor(es): dc.creatorCardoso, Ilusca M.-
Autor(es): dc.creatorSalomão, Reinaldo-
Autor(es): dc.creatorJapiassu, Andre-
Autor(es): dc.creatorAkamine, Nelson-
Autor(es): dc.creatorMazza, Bruno F.-
Autor(es): dc.creatorAssunção, Murillo S. C.-
Autor(es): dc.creatorFernandes, Haggeas S.-
Autor(es): dc.creatorBossa, Aline-
Autor(es): dc.creatorMonteiro, Mariana B.-
Autor(es): dc.creatorCaixeita, Noemi-
Autor(es): dc.creatorAzevedo, Luciano C. P.-
Autor(es): dc.creatorSilva, Eliezer-
Data de aceite: dc.date.accessioned2026-02-09T12:42:40Z-
Data de disponibilização: dc.date.available2026-02-09T12:42:40Z-
Data de envio: dc.date.issued2018-05-25-
Data de envio: dc.date.issued2018-05-25-
Data de envio: dc.date.issued2017-10-
Fonte completa do material: dc.identifierhttps://repositorio.ufla.br/handle/1/29314-
Fonte completa do material: dc.identifierhttps://journals.lww.com/ccmjournal/Abstract/2017/10000/Quality_Improvement_Initiatives_in_Sepsis_in_an.8.aspx-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/capes/1166739-
Descrição: dc.descriptionObjective: we aimed to assess the results of a quality improvement initiative in sepsis in an emerging setting and to analyze it according to the institutions’ main source of income (public or private). Design: retrospective analysis of the Latin American Sepsis Institute database from 2005 to 2014. Settings: brazilian public and private institutions. Patients: patients with sepsis admitted in the participant institutions. Interventions: the quality improvement initiative was based on a multifaceted intervention. The institutions were instructed to collect data on 6-hour bundle compliance and outcomes in patients with sepsis in all hospital settings. Outcomes and compliance was measured for eight periods of 6 months each, starting at the time of the enrollment in the intervention. The primary outcomes were hospital mortality and compliance with 6-hour bundle. Measurements and main results: we included 21,103 patients; 9,032 from public institutions and 12,071 from private institutions. Comparing the first period with the eigth period, compliance with the 6-hour bundle increased from 13.5% to 58.2% in the private institutions (p < 0.0001) and from 7.4% to 15.7% in the public institutions (p < 0.0001). Mortality rates significantly decreased throughout the program in private institutions, from 47.6% to 27.2% in the eighth period (adjusted odds ratio, 0.45; 95% CI, 0.32–0.64). However, in the public hospitals, mortality diminished significantly only in the first two periods. Conclusion: this quality improvement initiative in sepsis in an emerging country was associated with a reduction in mortality and with improved compliance with quality indicators. However, this reduction was sustained only in private institutions.-
Idioma: dc.languageen-
Publicador: dc.publisherSociety of Critical Care Medicine-
Direitos: dc.rightsrestrictAccess-
???dc.source???: dc.sourceCritical Care Medicine-
Palavras-chave: dc.subjectSepsis - Diagnosis-
Palavras-chave: dc.subjectSepsis - Therapy-
Palavras-chave: dc.subjectPublic institutions - Brazil - Case studies-
Palavras-chave: dc.subjectPrivate institutions - Brazil - Case studies-
Palavras-chave: dc.subjectHospitals - Brazil - Health programs-
Título: dc.titleQuality improvement initiatives in sepsis in an emerging country: does the institution’s main source of income influence the results? an analysis of 21,103 patients-
Tipo de arquivo: dc.typeArtigo-
Aparece nas coleções:Repositório Institucional da Universidade Federal de Lavras (RIUFLA)

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