The Role of Neighborhood- and Facility-Level Factors in Pediatric Sepsis Mortality
社区和设施层面因素在儿科脓毒症死亡率中的作用
基本信息
- 批准号:9909154
- 负责人:
- 金额:$ 3.62万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-02-01 至 2023-01-31
- 项目状态:已结题
- 来源:
- 关键词:Accident and Emergency departmentAcuteAdherenceAdultAffectAntibioticsBloodBolus InfusionCaringCensusesCessation of lifeCharacteristicsChildChildhoodClinicalCommunitiesCritical IllnessCritical ThinkingDataData SetDevelopmentDiagnosisEducationEmergency CareEquipmentEquipment and SuppliesFellowshipFoundational SkillsFoundationsFutureGeographic FactorGeographyGoalsGuidelinesHealth Services AccessibilityHealth Services ResearchHealthcare SystemsHospital DepartmentsHospital MortalityHospitalsHourIV FluidImprove AccessIncidenceInvestigationKnowledgeLinkMalignant Childhood NeoplasmMedically Underserved AreaMorbidity - disease rateNeighborhoodsNew YorkOutcomeOutcome StudyPatientsPediatric HospitalsPediatric Intensive Care UnitsPhysiciansPoliciesPopulationPrincipal InvestigatorProtocols documentationReadinessResearchResearch MethodologyResearch PersonnelResearch TrainingResuscitationRiskRoleScientistSepsisSeptic ShockSeverity of illnessSpecialistStrokeSubgroupSurveysSystemTestingTimeTrainingTraumaTriageVariantVisitWorkacute carecancer diagnosiscare costscare deliverycare outcomescare systemscareercohortcostexperiencefunctional disabilityhealth care availabilityhigh riskhigh risk populationimprovedimproved outcomemortalitymortality riskpediatric emergencypediatric patientsprogramspublic health interventionseptic patientsskillssocial health determinantstraining projectyoung adult
项目摘要
PROJECT SUMMARY/ABSTRACT
Pediatric sepsis affects over 50,000 U.S. children each year, resulting in long-term functional disability and
higher risk of mortality at a cost of nearly $2 billion. Early recognition and resuscitation of pediatric sepsis can
reduce mortality and improve outcomes. However, current adherence to early resuscitation guidelines remains
low among pediatric sepsis and septic shock patients. Adherence to pediatric sepsis care guidelines is worse
than in the adult sepsis population, especially in low-volume facilities. Compared to adults, pediatric sepsis
patients may be at higher risk of disparate incidence and outcomes given sparser access to definitive pediatric
hospital care. The central hypothesis of this study is that increased pediatric sepsis mortality can be partially
attributed to geographic access and facility-level characteristics among patients with similar severities of
illness. This study will use multi-state all-payer administrative claims data and a national readiness survey of
emergency departments (EDs) to test the central hypothesis with the following aims: (1) identify facility-level
characteristics associated with effective pediatric sepsis care and (2) determine the role of access to care in
pediatric sepsis outcomes. The proposed work will provide a foundation of evidence to inform the development
of pediatric sepsis quality improvement programs and systems for pediatric populations with decreased access
to children’s hospitals. This research training project will equip Morgan Swanson (Principal Investigator) with
the research experience, advanced critical thinking skills, and technical knowledge to succeed as an
independent investigator. As a future physician-scientist, this project will provide Ms. Swanson with
foundational skills to develop a research career focused on minimizing the burden of pediatric critical illness
through improving emergency health care access and delivery.
项目总结/文摘
项目成果
期刊论文数量(0)
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科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Morgan Bobb Swanson其他文献
Morgan Bobb Swanson的其他文献
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{{ truncateString('Morgan Bobb Swanson', 18)}}的其他基金
The Role of Neighborhood- and Facility-Level Factors in Pediatric Sepsis Mortality
社区和设施层面因素在儿科脓毒症死亡率中的作用
- 批准号:
10435054 - 财政年份:2020
- 资助金额:
$ 3.62万 - 项目类别:
The Role of Neighborhood- and Facility-Level Factors in Pediatric Sepsis Mortality
社区和设施层面因素在儿科脓毒症死亡率中的作用
- 批准号:
10333373 - 财政年份:2020
- 资助金额:
$ 3.62万 - 项目类别:
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