Posters

Presenting Author

Daniel Habenicht

Presentation Type

Poster

Discipline Track

Patient Care

Abstract Type

Research/Clinical

Abstract

Background: Sepsis remains an important cause of mortality in hospitals across the globe. The Centers for Medicare and Medicaid Services (CMS) have increased efforts to lower the mortality rate in sepsis patients via the CMS quality measure. The COVID-19 pandemic changed how we conduct healthcare and key elements of sepsis management might have been compromised, affecting the CMS sepsis bundle compliance rate. Our goals were to determine whether compliance rates were affected and to further analyze the mortality rates associated with sepsis management during the COVID-19 pandemic.

Methods: A retrospective chart review was conducted to analyze the adherence to the CMS sepsis bundle and mortality rates in patients with sepsis.

Results: The CMS sepsis bundle compliance rate was 38.62% during 2020 compared to before the pandemic >70%. There was a mortality rate of 48.7% in patients treated optimally, defined as receiving the full sepsis bundle, compared to 58% in those treated sub-optimally, defined as not receiving the full sepsis bundle (p = 0.28). In patients who were optimally treated, the mortality rate in COVID-19 positive patients was 70.60% compared to 36.40% who were COVID-19 negative (p = 0.034).

Conclusion: CMS sepsis bundle compliance rate is lower than previously recorded during the COVID-19 pandemic. The CMS sepsis protocol had no significant impact on mortality rates compared to patients who did not follow the CMS protocol. COVID-19 positive individuals had a significantly higher likelihood of mortality. Other studies have also found that sepsis protocols did not lead to decreased mortality rates. Perhaps the CMS sepsis bundle is not a reliable tool for best practice of treating patients with sepsis.

Academic/Professional Position

Medical Student

Mentor/PI Department

Internal Medicine

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CMS Sepsis Bundle Compliance Analysis at The Time of Patient Admission During The COVID-19 Pandemic in a Community Hospital in South Texas

Background: Sepsis remains an important cause of mortality in hospitals across the globe. The Centers for Medicare and Medicaid Services (CMS) have increased efforts to lower the mortality rate in sepsis patients via the CMS quality measure. The COVID-19 pandemic changed how we conduct healthcare and key elements of sepsis management might have been compromised, affecting the CMS sepsis bundle compliance rate. Our goals were to determine whether compliance rates were affected and to further analyze the mortality rates associated with sepsis management during the COVID-19 pandemic.

Methods: A retrospective chart review was conducted to analyze the adherence to the CMS sepsis bundle and mortality rates in patients with sepsis.

Results: The CMS sepsis bundle compliance rate was 38.62% during 2020 compared to before the pandemic >70%. There was a mortality rate of 48.7% in patients treated optimally, defined as receiving the full sepsis bundle, compared to 58% in those treated sub-optimally, defined as not receiving the full sepsis bundle (p = 0.28). In patients who were optimally treated, the mortality rate in COVID-19 positive patients was 70.60% compared to 36.40% who were COVID-19 negative (p = 0.034).

Conclusion: CMS sepsis bundle compliance rate is lower than previously recorded during the COVID-19 pandemic. The CMS sepsis protocol had no significant impact on mortality rates compared to patients who did not follow the CMS protocol. COVID-19 positive individuals had a significantly higher likelihood of mortality. Other studies have also found that sepsis protocols did not lead to decreased mortality rates. Perhaps the CMS sepsis bundle is not a reliable tool for best practice of treating patients with sepsis.

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