Effect of Emergency Department Care Reorganization on Door-to-antibiotic Times for Sepsis (LDS SWARM)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 3,230
- Locations
- 4
- Primary Endpoint
- Time From ED Arrival to Administration of First Dose of Antibiotics
Study Overview
Brief Summary
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.
Detailed Description
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.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Time From ED Arrival to Administration of First Dose of Antibiotics
Time Frame: 24 hours
Secondary Outcomes
- Hospital Mortality(Up to 1 year)
- ED Length of Stay(Up to 1 week)
- Door-to-physician Evaluation Time(Up to 24 hours)
Investigators
Ithan Peltan
Attending Physician, Intermountain Medical Center
Intermountain Health Care, Inc.