Discharge selections might contribute to the numerous healthcare challenges related to sepsis. Although sepsis sufferers are sometimes discharged to expert nursing services (SNFs), current knowledge demonstrates that referral to long-term acute care hospitals (LTACHs), which give continued acute look after critically complicated patents, can enhance outcomes and scale back readmissions.
Understanding the Sepsis Problem
Sepsis, which has a excessive mortality fee, has a mean size of keep that’s 75% higher than different circumstances, starting from 4.5-16.5 days, relying on the severity of the an infection.1,2 Sepsis additionally has the best variety of 30-day all-cause readmissions.3
Bettering Outcomes with LTACH Referrals
The lengthy lengths of keep and excessive readmission charges of sepsis sufferers might should do with restoration pathway picks, which have traditionally favored SNFs.4
Nonetheless, current research evaluating SNFs with long-term acute care hospitals present that LTACHs are capable of present higher outcomes for sepsis sufferers.
When evaluating post-acute LOS, sepsis sufferers discharged to SNFs have longer post-acute stays than these discharged to LTACHs, suggesting that the higher-acuity setting helped sufferers recuperate extra rapidly.5
LTACHs even have decrease sepsis readmission charges than SNFs, with Kindred Hospitals’ community of long-term acute care hospitals reaching even decrease readmission charges than LTACHs usually.6 These knowledge counsel that sepsis sufferers not solely heal extra rapidly at an LTACH, but in addition expertise a extra lasting restoration.
IT is essential for sepsis sufferers to proceed to obtain an acute stage of care after the preliminary hospital keep. At LTACHs, groups of physicians, essential care clinicians, and rehabilitation therapists concentrate on treating critically in poor health sufferers with complicated circumstances who require prolonged restoration occasions.
LTACHs provide:
– IV antibiotic remedy
– Onsite labs and pharmacies
– CMS-compliant an infection prevention requirements
Discharging sepsis sufferers to a setting with this stage of acuity in a well timed method may help scale back total size of keep in addition to danger of readmission.
How Kindred Can Assist
For over 30 years, Kindred Hospitals has offered high-quality, modern care to medically complicated sufferers. With a nationwide community of LTACHs holding disease-specific care certification in Sepsis from The Joint Fee, in addition to a longtime remedy protocol, Kindred can play a key position in enhancing outcomes and lowering readmissions for sepsis sufferers.
To make a referral name 1.866.KINDRED, choice 1. To be taught extra about how Kindred Hospitals may help enhance sepsis outcomes, go to recoveratkindred.com
References
- https://www.mayoclinic.org/diseases-conditions/sepsis/symptoms-causes/syc-20351214
- https://journals.lww.com/ccmjournal/Fulltext/2018/12000/Epidemiology_and_Costs_of_Sepsis_in_the_United.1.aspx
- https://www.hcup-us.ahrq.gov/experiences/statbriefs/sb278-Circumstances-Frequent-Readmissions-By-Payer-2018.pdf , Determine 2
- https://www.atsjournals.org/doi/full/10.1513/AnnalsATS.201905-368RL
- https://www.atsjournals.org/doi/full/10.1513/AnnalsATS.201905-368RL , Desk 1
- dag.advisory.com/marketexplorer/PAC/Nationwide/1X7SCS72; dag.advisory.com/marketexplorer/system/construct/1X7SCS72, accessed 2/15/2023
March 6, 2023