Hospital Variation in Renal Replacement Therapy for Sepsis in the United States.

ABSTRACT:

Objectives

Acute renal replacement therapy in patients with sepsis has increased dramatically with substantial costs. However, the extent of variability in use across hospitals-and whether greater use is associated with better outcomes-is unknown.

Design

Retrospective cohort study.

Setting

Nationwide Inpatient Sample in 2011.

Patients

Eighteen years old and older with sepsis and acute kidney injury admitted to hospitals sampled by the Nationwide Inpatient Sample in 2011.

Interventions

We estimated the risk- and reliability-adjusted rate of acute renal replacement therapy use for patients with sepsis and acute kidney injury at each hospital. We examined the association between hospital-specific renal replacement therapy rate and in-hospital mortality and

SUBMITTER: Valley TS 

PROVIDER: S-EPMC5771975 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature