Effect of Emergency Department Care Reorganization on Door-to-antibiotic Times for Sepsis (LDS SWARM)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,230
- 试验地点
- 4
- 主要终点
- Time From ED Arrival to Administration of First Dose of Antibiotics
研究概览
简要总结
Sepsis is a common syndrome resulting from a dysregulated response to infection. The timing of antibiotic initiation is an important determinant of outcomes for patients presenting to the emergency department with sepsis. The potential effect of care reorganization on very early care for sepsis is unknown. This study will investigate whether multidisciplinary coordination of the initial patient evaluation in the emergency department influences door-to-antibiotic time for septic patients.
详细描述
This is a retrospective cohort study of emergency department sepsis care before versus after implementation of a "swarming" model for simultaneous patient evaluation by multidisciplinary care providers. The analysis will use data from similar hospitals that did not change sepsis care organization during the study period to control for changes in sepsis care not resulting from the "swarming" intervention.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Time From ED Arrival to Administration of First Dose of Antibiotics
时间窗: 24 hours
次要结局
- Hospital Mortality(Up to 1 year)
- ED Length of Stay(Up to 1 week)
- Door-to-physician Evaluation Time(Up to 24 hours)
研究者
Ithan Peltan
Attending Physician, Intermountain Medical Center
Intermountain Health Care, Inc.