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Table 2 Main characteristics of the included septic shock hospital stays in France between 2010 and 2015 and their associated temporal trends

From: Sepsis and septic shock in France: incidences, outcomes and costs of care

Septic shock

Implicit definition

ICD 10th or CCAM

All

2010

2011

2012

2013

2014

2015

Trendsa

Cases

492,902

69,466

76,350

81,107

81,886

89,934

94,159

 

Incidence per 100.000 (age-standardized)

 

135

146

153

152

165

171

Deaths per 100.000 (age-standardized)

 

62

67

69

69

73

75

Case fatality (age standardized)

 

46

45

45

45

44

44

Hospital stay characteristics

 

Services of admission

 Intensive care unit

353,190 (71.7)

50,369 (72.5)

54,181 (71)

57,553 (71)

58,678 (71.7)

64,696 (71.9)

67,713 (71.9)

 = 

 Intermediate care facilities

151,357 (30.7)

17,917 (25.8)

21,415 (28)

24,475 (30.2)

26,486 (32.3)

29,721 (33)

31,343 (33.3)

Characteristics of the patients

Baseline characteristics

 Age in years, median (IQR)

70 [59; 80]

70 [58; 79]

70 [58; 80]

70 [59; 80]

70 [59; 80]

70 [59; 80]

70 [60; 80]

 Gender (female)

190,941 (38.7)

27,069 (39)

29,513 (38.7)

31,535 (38.9)

31,811 (38.8)

34,677 (38.6)

36,336 (38.6)

 = 

Comorbidities

    

 Myocardial infarction

90,838 (18.4)

12,922 (18.6)

13,913 (18.2)

15,084 (18.6)

15,111 (18.5)

16,656 (18.5)

17,152 (18.2)

 = 

 Congestive heart failure

147,098 (29.8)

19,920 (28.7)

22,285 (29.2)

24,281 (29.9)

24,767 (30.2)

27,548 (30.6)

28,297 (30.1)

 Dementia

21,630 (4.4)

3090 (4.4)

3466 (4.5)

3631 (4.5)

3541 (4.3)

3911 (4.3)

3991 (4.2)

 = 

 Chronic pulmonary disease

80,759 (16.4)

10,835 (15.6)

12,109 (15.9)

13,237 (16.3)

13,073 (16)

15,206 (16.9)

16,299 (17.3)

 Diabetes without chronic complication

81,220 (16.5)

11,171 (16.1)

11,832 (15.5)

13,319 (16.4)

13,739 (16.8)

15,467 (17.2)

15,692 (16.7)

 Diabetes with chronic complications

46,219 (9.4)

6735 (9.7)

7175 (9.4)

7762 (9.6)

7490 (9.1)

8519 (9.5)

8538 (9.1)

 Renal disease

61,383 (12.5)

7610 (11)

8875 (11.6)

10,003 (12.3)

10,266 (12.5)

12,231 (13.6)

12,398 (13.2)

 Any malignancy

111,501 (22.6)

15,377 (22.1)

17,038 (22.3)

18,309 (22.6)

18,709 (22.8)

20,778 (23.1)

21,290 (22.6)

 Moderate or severe liver disease

36,692 (7.4)

5306 (7.6)

5706 (7.5)

6115 (7.5)

6187 (7.6)

6559 (7.3)

6819 (7.2)

 Metastatic solid tumor

37,339 (7.6)

4734 (6.8)

5516 (7.2)

6033 (7.4)

6311 (7.7)

7271 (8.1)

7474 (7.9)

 Charlson score, median (IQR)

2 [1; 4]

2 [1; 4]

2 [1; 4]

2 [1; 4]

2 [1; 4]

2 [1; 4]

2 [1; 4]

Illness severity

 Neurological organ failure

132,587 (26.9)

16,159 (23.3)

19,360 (25.4)

21,817 (26.9)

22,332 (27.3)

25,054 (27.9)

27,865 (29.6)

 Renal organ failure

214,785 (43.6)

29,032 (41.8)

32,334 (42.3)

34,910 (43)

36,481 (44.6)

39,981 (44.5)

42,047 (44.7)

 Respiratory organ failure

227,706 (46.2)

32,439 (46.7)

35,664 (46.7)

37,638 (46.4)

38,094 (46.5)

40,982 (45.6)

42,889 (45.5)

 Number of organ failure, median (IQR)

4 [3; 5]

4 [3; 5]

4 [3; 5]

4 [3; 5]

4 [3; 5]

4 [3; 5]

4 [3; 5]

 = 

 SAPS II score, median (IQR) (miss = 83,156)

51 [38; 67]

51 [38; 67]

51 [38; 67]

51 [38; 67]

51 [38; 67]

51 [38; 67]

51 [38; 68]

Outcomes

 Hospital LOS (days) (median [IQR])

20 [8; 39]

20 [8; 40]

20 [8; 39]

20 [8; 39]

20 [8; 39]

19 [8; 38]

19 [8; 37]

 ICU LOS (days) (median [IQR]) (missing = 133,828)

8 [3; 18]

9 [3; 20]

9 [3; 19]

8 [3; 19]

8 [3; 18]

8 [3; 18]

8 [3; 17]

 Discharge to home

199,613 (40.5)

27,067 (39)

30,521 (40)

32,755 (40.4)

32,810 (40.1)

37,433 (41.6)

39,027 (41.4)

 Hospital mortality

222,709 (45.2)

32,091 (46.2)

34,967 (45.8)

37,007 (45.6)

37,146 (45.4)

39,872 (44.3)

41,626 (44.2)

 Cost (€), median (IQR)

16,449

[7336; 29360]

17,261.7

[7604; 30765]

16,129.2

[6918; 29647]

15,886

[6889; 29107]

16,538.6

[7387; 29489]

16,640.1

[7560; 29172]

16,364.6

[7509; 28504]

  1. aTest of trend or linear regression for values from 2010 to 2015; a significant increase is observed with a p value < 0.05; a significant decrease is observed with a p value < 0.05; ‘ = ’ no significant trend is observed; SAPS II Simplified Acute Physiology Score II; LOS length of stay, ICU intensive care unit