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Published on: January 27, 2019
The Rate of Sepsis in a National Pediatric Population, 2006 to 2012
Kristin A Schuller1, Benson S Hsu2,3, Allyson B Thompson4
11 Ohio University, Athens, OH, USA.
Insights
Pediatric severe sepsis cases are increasing annually in the US. This study found sepsis rates rose significantly from 2006 to 2012, highlighting at-risk populations for targeted interventions.
Area of Science:
- Pediatric critical care
- Public health surveillance
- Epidemiology of infectious diseases
Background:
- The incidence of pediatric severe sepsis is rising in the United States, with an estimated 6000 additional cases annually.
- A growing concern for healthcare providers and policymakers due to increasing pediatric sepsis rates.
Purpose of the Study:
- To determine the trend in pediatric sepsis rates per 100,000 inpatient discharges over time.
- Identify changes in sepsis incidence among hospitalized children.
Main Methods:
- Utilized the 2006, 2009, and 2012 Healthcare Cost and Utilization Project Kid's Inpatient Databases.
- Analyzed large-scale administrative data to track sepsis rates in pediatric populations.
Main Results:
- Pediatric sepsis rates increased from 92.8 per 100,000 discharges in 2006 to 158.7 per 100,000 in 2012.
- Infants under one year, children with Medicaid, and those undergoing multiple procedures showed significantly higher sepsis rates.
Conclusions:
- Identified key demographic factors associated with increased risk for pediatric sepsis.
- Findings support targeted interventions and policy adjustments to address sepsis in vulnerable pediatric populations.
Introduction:
The rate of pediatric severe sepsis is reported to be on the rise in the United States, increasing by approximately 6000 cases annually. The goal of this study was to determine the rate of pediatric sepsis per 100 000 inpatient discharges over time.
Methods:
The 2006, 2009, and 2012 Agency for Healthcare Research and Quality Healthcare Cost Utilization Project Kid's Inpatient Databases were used to analyze the rate of sepsis in children over time.
Results:
The rate of pediatric sepsis has increased over time from 92.8 per 100 000 in 2006 to 158.7 per 100 000 in 2012. Children less than a year old with Medicaid coverage and 3 or more procedures during hospitalization have significantly higher rates than their counterparts.
Conclusions:
This study helps clarify the population demographics that are at greater risk for sepsis infections. Understanding the at-risk population aids policymakers and care providers in targeting these populations and make drastic changes to sepsis policies.
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