Epidemiology of sepsis in a Japanese administrative database
Abstract Sepsis is the leading cause of death worldwide. Considering regional variations in the characteristics of patients with sepsis, a better understanding of the epidemiology in Japan will lead to further development of strategies for the prevention and treatment of sepsis. To investigate the e...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-01-01
|
| Series: | Acute Medicine & Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ams2.890 |
| _version_ | 1827397246962892800 |
|---|---|
| author | Taro Imaeda Takehiko Oami Nozomi Takahashi Daiki Saito Akiko Higashi Taka‐aki Nakada |
| author_facet | Taro Imaeda Takehiko Oami Nozomi Takahashi Daiki Saito Akiko Higashi Taka‐aki Nakada |
| author_sort | Taro Imaeda |
| collection | DOAJ |
| description | Abstract Sepsis is the leading cause of death worldwide. Considering regional variations in the characteristics of patients with sepsis, a better understanding of the epidemiology in Japan will lead to further development of strategies for the prevention and treatment of sepsis. To investigate the epidemiology of sepsis, we conducted a systematic literature review of PubMed between 2003 and January 2023. Among the 78 studies using a Japanese administrative database, we included 20 that defined patients with sepsis as those with an infection and organ dysfunction. The mortality rate in patients with sepsis has decreased since 2010, reaching 18% in 2017. However, the proportion of inpatients with sepsis is increasing. A study comparing short‐course (≤7 days) and long‐course (≥8 days) antibiotic administration showed lower 28‐day mortality in the short‐course group. Six studies on the treatment of patients with septic shock reported that low‐dose corticosteroids or polymyxin B hemoperfusion reduced mortality, whereas intravenous immunoglobulins had no such effect. Four studies investigating the effects of treatment in patients with sepsis‐associated disseminated intravascular coagulation demonstrated that antithrombin may reduce mortality, whereas recombinant human soluble thrombomodulin does not. A descriptive study of medical costs for patients with sepsis showed that the effective cost per survivor decreased over an 8‐year period from 2010 to 2017. Sepsis has a significant impact on public health, and is attracting attention as an ongoing issue. Further research to determine more appropriate prevention methods and treatment for sepsis should be a matter of priority. |
| first_indexed | 2024-03-08T19:04:32Z |
| format | Article |
| id | doaj.art-2cd7ef13acbb42fd896cc40dc5dd1091 |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-03-08T19:04:32Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-2cd7ef13acbb42fd896cc40dc5dd10912023-12-28T00:28:39ZengWileyAcute Medicine & Surgery2052-88172023-01-01101n/an/a10.1002/ams2.890Epidemiology of sepsis in a Japanese administrative databaseTaro Imaeda0Takehiko Oami1Nozomi Takahashi2Daiki Saito3Akiko Higashi4Taka‐aki Nakada5Department of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba JapanDepartment of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba JapanDepartment of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba JapanDepartment of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba JapanDepartment of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba JapanDepartment of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba JapanAbstract Sepsis is the leading cause of death worldwide. Considering regional variations in the characteristics of patients with sepsis, a better understanding of the epidemiology in Japan will lead to further development of strategies for the prevention and treatment of sepsis. To investigate the epidemiology of sepsis, we conducted a systematic literature review of PubMed between 2003 and January 2023. Among the 78 studies using a Japanese administrative database, we included 20 that defined patients with sepsis as those with an infection and organ dysfunction. The mortality rate in patients with sepsis has decreased since 2010, reaching 18% in 2017. However, the proportion of inpatients with sepsis is increasing. A study comparing short‐course (≤7 days) and long‐course (≥8 days) antibiotic administration showed lower 28‐day mortality in the short‐course group. Six studies on the treatment of patients with septic shock reported that low‐dose corticosteroids or polymyxin B hemoperfusion reduced mortality, whereas intravenous immunoglobulins had no such effect. Four studies investigating the effects of treatment in patients with sepsis‐associated disseminated intravascular coagulation demonstrated that antithrombin may reduce mortality, whereas recombinant human soluble thrombomodulin does not. A descriptive study of medical costs for patients with sepsis showed that the effective cost per survivor decreased over an 8‐year period from 2010 to 2017. Sepsis has a significant impact on public health, and is attracting attention as an ongoing issue. Further research to determine more appropriate prevention methods and treatment for sepsis should be a matter of priority.https://doi.org/10.1002/ams2.890administrative databaseclaim databaseDiagnosis Procedure Combinationorgan dysfunctionSepsis‐3 |
| spellingShingle | Taro Imaeda Takehiko Oami Nozomi Takahashi Daiki Saito Akiko Higashi Taka‐aki Nakada Epidemiology of sepsis in a Japanese administrative database Acute Medicine & Surgery administrative database claim database Diagnosis Procedure Combination organ dysfunction Sepsis‐3 |
| title | Epidemiology of sepsis in a Japanese administrative database |
| title_full | Epidemiology of sepsis in a Japanese administrative database |
| title_fullStr | Epidemiology of sepsis in a Japanese administrative database |
| title_full_unstemmed | Epidemiology of sepsis in a Japanese administrative database |
| title_short | Epidemiology of sepsis in a Japanese administrative database |
| title_sort | epidemiology of sepsis in a japanese administrative database |
| topic | administrative database claim database Diagnosis Procedure Combination organ dysfunction Sepsis‐3 |
| url | https://doi.org/10.1002/ams2.890 |
| work_keys_str_mv | AT taroimaeda epidemiologyofsepsisinajapaneseadministrativedatabase AT takehikooami epidemiologyofsepsisinajapaneseadministrativedatabase AT nozomitakahashi epidemiologyofsepsisinajapaneseadministrativedatabase AT daikisaito epidemiologyofsepsisinajapaneseadministrativedatabase AT akikohigashi epidemiologyofsepsisinajapaneseadministrativedatabase AT takaakinakada epidemiologyofsepsisinajapaneseadministrativedatabase |