• Lora Z Silverman, L Marco Hoesel, Aken Desai, Patricia Posa, Mary-Anne Purtill, and Mary-Margaret Brandt.
• St. Joseph Mercy Hospital, Ann Arbor, MI 48106, USA.
• Am. J. Surg. 2011 Mar 1;201(3):320-3; discussion 323.

BackgroundOur institution initiated the implementation of the Surviving Sepsis Campaign guidelines in 2006. We hypothesize that the addition of a surgical intensivist improved results more than the implementation of the guidelines alone.MethodsWe collected data on 273 patients who were admitted to the surgical intensive care unit for sepsis. The groups were divided into pre-bundle, n = 19; bundle, n = 186; and bundle-plus, n = 68, to denote the method by which the patients were treated for sepsis.ResultsThere was no difference in age or sex between groups. There was a statistically significant decrease in length of stay (LOS) between the 3 groups, and in mortality between the bundle and bundle-plus treatment groups (P < .01). In addition, there was an average cost savings between each group.ConclusionsImplementation of evidence-based guidelines decreased LOS and decreased cost in our surgical intensive care unit. By adding the expertise of a surgical intensivist, we reduced LOS, cost, and relative risk of death even further than using the guidelines alone.Copyright © 2011 Elsevier Inc. All rights reserved.

28 keywords...

hide…