Variation in Corticosteroid Prescribing Practices for Patients With Septic Shock.

ABSTRACT:

Objectives

Understanding sources of variation in acute care delivery may inform targeted strategies to promote evidence-uptake. We sought to characterize physician-level and ICU-level variation in corticosteroid prescribing for patients with septic shock.

Design

We performed a retrospective cohort study using the electronic health record of a multihospital health system. We identified ICU patients with septic shock admitted between 2018 and 2020. Using medication administration data, we determined which patients received corticosteroids within 2 days of vasopressor initiation. We linked each patient to their attending physician of record using digital signatures from clinical documentation. We then fit a hierarchical mixed-effects logistic regression model to identify factor

SUBMITTER: Soni K 

PROVIDER: S-EPMC11845208 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature