Utilization patterns and outcomes associated with central venous catheter in septic shock: a population-based study.

ABSTRACT:

Objectives

In 2001, a randomized trial showed decreased mortality with early, goal-directed therapy in septic shock, a strategy later recommended by the Surviving Sepsis Campaign. Placement of a central venous catheter is necessary to administer goal-directed therapy. We sought to evaluate nationwide trends in: 1) central venous catheter utilization and 2) the association between early central venous catheter insertion and mortality in patients with septic shock.

Design

We retrospectively analyzed the proportion of septic shock cases receiving an early (day of admission) central venous catheter and the odds of hospital mortality associated with receiving early central venous catheter from years 1998 to 2001 compared with 2002 to 2009.

Setting

Non-federal acute care ho

SUBMITTER: Walkey AJ 

PROVIDER: S-EPMC3780984 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature