巴西公共与私立医院脓毒症治疗及结果差异的多中心观察性研究数据集

数据集获取（Figshare）

• 源站标题：Differences in Sepsis Treatment and Outcomes between Public and Private Hospitals in Brazil: A Multicenter Observational Study
• DOI：10.1371/journal.pone.0064790
• 发布日期：2013-06-06
• 文件数：2 个
• 文件总体积：41.97 KB
• 源站页面：https://plos.figshare.com/articles/dataset/_Differences_in_Sepsis_Treatment_and_Outcomes_between_Public_and_Private_Hospitals_in_Brazil_A_Multicenter_Observational_Study_/713051

命令行下载

curl -L -o "Table_S1.docx" "https://ndownloader.figshare.com/files/1076132"
curl -L -o "Table_S2.docx" "https://ndownloader.figshare.com/files/1076133"

文件清单

• Table_S1.docx（21.66 KB）
• Table_S2.docx（20.31 KB）

文件总体积 41.97 KB（源站 API 实测）。

数据说明

Background
Previous studies showed higher sepsis mortality rates in Brazil compared to other developed or developing countries. Moreover, another trial demonstrated an increased mortality rate in public hospitals compared to private hospitals in Brazil. The reasons for these findings may include delayed recognition and inadequate treatment of sepsis in public facilities. We designed this study to evaluate the factors associated with mortality in septic patients admitted to intensive care units in a network of public and private institutions.
Materials and Methods
This study is a retrospective analysis of a prospective cohort of sepsis patients in 19 private and public institutions in Brazil. We analyzed data from the original database and collected additional data to assess compliance to the treatment guidelines and to determine the time from the onset of organ dysfunction and the sepsis diagnosis by the healthcare team.
Results
A total of 396 patients were analyzed. Patients in public hospitals were younger, had a greater number of dysfunctional organs at baseline and a lower chance to have sepsis diagnosed within two hours of the onset of organ dysfunction. Private hospitals had a better compliance to lactate and blood culture sampling and maintenance of glycemic control. The multivariate analysis showed that age, disease severity at baseline and being treated at a public hospital were independent risk factors for mortality. A delay in the sepsis diagnosis of longer than two hours was associated with mortality only in the public setting.
Conclusions
We confirmed a lower sepsis mortality rate in the private hospitals of this network. Being treated in a public hospital was an independent factor for mortality. Delayed recognition of sepsis was more frequent in public institutions and this might have been associated with a higher mortality. Improving sepsis recognition and early diagnosis may be important targets in public institutions.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0064790（source: https://plos.figshare.com/articles/dataset/_Differences_in_Sepsis_Treatment_and_Outcomes_between_Public_and_Private_Hospitals_in_Brazil_A_Multicenter_Observational_Study_/713051）。