SEP-6: SUSTAINED REDUCTION OF INTENSIVE sCARE- AND HOSPITAL LENGTH OF STAY FOR SEVERE SEPSIS AND SEPTIC SHOCK XXXX BY A CONTINUOUS QUALITY IMPROVEMENT PROGRAM OVER 7.5 YEARS.

@entity1 @entity295 @entity1213 @entity326
INTRODUCTION: The effects of guideline-based therapies for severe @entity295 and @entity326 on @entity1213 ( @entity1213 )- and hospital length of stay (LOS) is discussed controversely. Long-term trials are not existing. METHODS: In this prospective longitudinal intervention study a continuous training program for @entity1213 staff was performed especially focusing on the resuscitation bundle. From 2006-2013, all @entity1213 @entity1 >= 18 years with severe @entity295 or @entity326 were enrolled. @entity1213 - and hospital LOS during the training program (2008-2013) were compared to data from 2006-2007. Data are represented as median and interquartile range. RESULTS: 1382 @entity1 were included (506 medical, 876 surgical). @entity1213 LOS after @entity295 diagnosis (20d [7;43] to 11d [4;26]; P<0.001) and hospital LOS (44d [28;67] to 36d [23;58]; P=0.027) decreased significantly for surviving @entity1 . @entity1213 LOS after @entity295 diagnosis for medical @entity1 decreased from 24d [6;42] to 12d [3;33] (P=0.178); hospital LOS decreased from 43d [25;56] to 36d [23;64] (P=0.905). However, statistical significance could not be demonstrated for medical @entity1 because of extreme variations. For surgical @entity1 @entity1213 LOS after @entity295 diagnosis significantly decreased from 19d [8;45] to 10d [5;24] (P<0.001). Hospital LOS decreased from 51d [29;76] to 36d [22;57] (P=0.004). @entity1213 LOS was reduced by 48% for medical and by 47% for surgical @entity1 . Hospital LOS was reduced by 17% for medical and by 29% for surgical @entity1 . CONCLUSION: The present guideline-based program reduced @entity1213 - and hospital LOS for @entity1 with severe @entity295 and @entity326 .
