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Kumar A, Hammond N, Abbenbroek B, Thompson K, Taylor C, Venkatesh B, Delaney A, Finfer S. Sepsis-coded hospitalisations and associated costs in Australia: a retrospective analysis. BMC Health Serv Res 2023; 23:1319. [PMID: 38031109 PMCID: PMC10688047 DOI: 10.1186/s12913-023-10223-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 10/27/2023] [Indexed: 12/01/2023] Open
Abstract
OBJECTIVE To report trends in Australian hospitalisations coded for sepsis and their associated costs. DESIGN Retrospective analysis of Australian national hospitalisation data from 2002 to 2021. METHODS Sepsis-coded hospitalisations were identified using the Global Burden of Disease study sepsis-specific ICD-10 codes modified for Australia. Costs were calculated using Australian-Refined Diagnosis Related Group codes and National Hospital Cost Data Collection. RESULTS Sepsis-coded hospitalisations increased from 36,628 in 2002-03 to 131,826 in 2020-21, an annual rate of 7.8%. Principal admission diagnosis codes contributed 13,843 (37.8%) in 2002-03 and 44,186 (33.5%) in 2020-21; secondary diagnosis codes contributed 22,785 (62.2%) in 2002-03 and 87,640 (66.5%) in 2020-21. Unspecified sepsis was the most common sepsis code, increasing from 15,178 hospitalisations in 2002-03 to 68,910 in 2020-21. The population-based incidence of sepsis-coded hospitalisations increased from 18.6 to 10,000 population (2002-03) to 51.3 per 10,000 (2021-21); representing an increase from 55.1 to 10,000 hospitalisations in 2002-03 to 111.4 in 2020-21. Sepsis-coded hospitalisations occurred more commonly in the elderly; those aged 65 years or above accounting for 20,573 (55.6%) sepsis-coded hospitalisations in 2002-03 and 86,135 (65.3%) in 2020-21. The cost of sepsis-coded hospitalisations increased at an annual rate of 20.6%, from AUD199M (€127 M) in financial year 2012 to AUD711M (€455 M) in 2019. CONCLUSION Hospitalisations coded for sepsis and associated costs increased significantly from 2002 to 2021 and from 2012 to 2019, respectively.
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Affiliation(s)
- Ashwani Kumar
- Critical Care Program, The George Institute for Global Health, Sydney, NSW, Australia.
- University of New South Wales, Sydney, Australia.
| | - Naomi Hammond
- Critical Care Program, The George Institute for Global Health, Sydney, NSW, Australia
- Royal North Shore Hospital, Sydney, NSW, Australia
- University of New South Wales, Sydney, Australia
| | - Brett Abbenbroek
- Critical Care Program, The George Institute for Global Health, Sydney, NSW, Australia
- University of New South Wales, Sydney, Australia
| | - Kelly Thompson
- Critical Care Program, The George Institute for Global Health, Sydney, NSW, Australia
- Nepean Blue Mountains LHD, Sydney, NSW, Australia
- University of New South Wales, Sydney, Australia
| | - Colman Taylor
- Critical Care Program, The George Institute for Global Health, Sydney, NSW, Australia
- University of New South Wales, Sydney, Australia
| | - Bala Venkatesh
- Critical Care Program, The George Institute for Global Health, Sydney, NSW, Australia
- Princess Alexandra Hospital, Brisbane, QLD, Australia
- University of New South Wales, Sydney, Australia
| | - Anthony Delaney
- Critical Care Program, The George Institute for Global Health, Sydney, NSW, Australia
- Royal North Shore Hospital, Sydney, NSW, Australia
- University of New South Wales, Sydney, Australia
| | - Simon Finfer
- Critical Care Program, The George Institute for Global Health, Sydney, NSW, Australia
- School of Public Health, Imperial College London, London, UK
- University of New South Wales, Sydney, Australia
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Kissoon N, Ansermino JM. Exploring vulnerabilities to sepsis in Canada. Can J Anaesth 2020; 67:399-402. [PMID: 31768788 DOI: 10.1007/s12630-019-01537-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Revised: 10/02/2019] [Accepted: 10/18/2019] [Indexed: 11/29/2022] Open
Affiliation(s)
- Niranjan Kissoon
- Critical Care - Global Child Health, Department of Pediatrics and Emergency Medicine, University of British Columbia, 4480 Oak Street, Vancouver, BC, V6H 3V4, Canada.
| | - John Mark Ansermino
- Department of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, BC, Canada
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Minton C, Power T, Wilson S, Jackson D. Understanding recovery and survivorship after a prolonged critical illness. J Clin Nurs 2020; 29:665-666. [DOI: 10.1111/jocn.15018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Claire Minton
- School of Nursing College of HealthMassey University Palmerston North New Zealand
| | - Tamara Power
- Faculty of Health University of Technology Sydney Sydney Australia
| | - Stacey Wilson
- School of Nursing College of HealthMassey University Palmerston North New Zealand
| | - Debra Jackson
- Faculty of Health University of Technology Sydney Sydney Australia
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