Sepsis Care Tied to Home Discharge - Summary - MDSpire
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Sepsis Care Tied to Home Discharge
Journal pre-proof study of more than 38,000 patients found timely antibiotics and indicated fluid resuscitation were associated with increased odds of returning home
To evaluate the association between early sepsis care measures and the likelihood of discharge to home among adults hospitalized with community-onset sepsis.
Key Findings:
54% of patients were discharged to home, 26% to post-acute care, and 21% died or were discharged to hospice.
75% of eligible patients received timely antibiotics, and about 50% received the fluid resuscitation measure.
Timely antibiotic administration was associated with a 3 percentage point higher likelihood of discharge to home.
Fluid resuscitation was associated with a 1 percentage point increase in the likelihood of discharge to home.
Interpretation:
Prompt antibiotic treatment may influence short-term survival and downstream recovery after sepsis, suggesting that discharge location may better capture functional recovery than mortality alone.
Limitations:
The study is observational, and residual confounding could not be excluded.
Discharge to home may not always reflect the most appropriate disposition for every patient.
Conclusion:
Improving early sepsis management could enhance survival and increase the likelihood of returning home instead of requiring institutional post-acute care.
