Skip to main content

Military Health System

Surveillance Snapshot: Lengths of Hospital Stays for Service Members Diagnosed with Sepsis, Active Component, U.S. Armed Forces, 2011–2020

Image of The (left to right) Senior Airman Austin Shrewsbury, 88th Diagnostics and Therapeutic Squadron medical laboratory technician, works with student, Airman 1st Class Taylor Altman, 88th Diagnostics and Therapeutic Squadron medical laboratory technician, to identify bacteria of patient’s cultures inside the microbiology laboratory at Wright-Patterson Air Force Base medical center June 30, 2017. . The (left to right) Senior Airman Austin Shrewsbury, 88th Diagnostics and Therapeutic Squadron medical laboratory technician, works with student, Airman 1st Class Taylor Altman, 88th Diagnostics and Therapeutic Squadron medical laboratory technician, to identify bacteria of patient’s cultures inside the microbiology laboratory at Wright-Patterson Air Force Base medical center June 30, 2017.

Recommended Content:

Medical Surveillance Monthly Report

Sepsis is a serious and life-threatening organ dysfunction caused by a dysregulated host response to infection.1 In the U.S., sepsis is a leading cause of in-hospital mortality2 and one of the most expensive conditions treated in U.S. hospitals.3

A 2018 retrospective analysis of more than 2 million U.S. sepsis hospitalizations reported that the median length of stay (LOS) for sepsis increased with disease severity ranging from 7.7 days, 10 days, and 12.6 days for sepsis, severe sepsis and septic shock, respectively.4

A recent MSMR analysis by Snitchler et al. summarized sepsis hospitalizations diagnosed in active component military members between 2011 and 2020.5 During the 10-year surveillance period, crude overall incidence was 39.8 hospitalizations per 100,000 person-years. Annual incidence rates of sepsis hospitalizations increased 64% from 2011 through 2019, then dropped considerably in 2020.5

This snapshot summarizes median LOS metrics for sepsis hospitalizations by year during the same surveillance period (Figure). The median LOS for sepsis was 5 days for the period from 2011 through 2017 and declined to 4 days for the years 2018 and 2019. In 2020, the median LOS increased back to 5 days.

Disclaimer: The content of this manuscript is the sole responsibility of the authors and does not necessarily reflect the views, opinions, or policies of the Uniformed Services University of the Health Sciences, the Department of the Navy, the Department of Defense, or the United States Government. Mention of trade names, commercial products, or organizations does not imply endorsement by the United States Government.

References

  1. Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801–810.
  2. Liu V, Escobar GJ, Greene JD. Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312:90–92
  3. Torio CM, Moore BJ. National inpatient hospital costs: the most expensive conditions by payer, 2013. May, 2016. Accessed 1 Nov 2021. https://www.hcup-us.ahrq.gov/reports/statbriefs/sb204-Most-Expensive-Hospital-Conditions.pdf
  4. Paoli CJ, Reynolds MA, Sinha M, Gitlin M, Crouser E. Epidemiology and costs of sepsis in the United States-An analysis based on timing of diagnosis and severity level. Crit Care Med. 2018;46(12):1889–1897.
  5. Snitchler CL, Patel DM, Stahlman SL, Chauhan AV, Wells NY, McQuistan, AA. Sepsis hospitalizations among active component service members, U.S. Armed Forces, 2011–2020. MSMR. 2021;28(11):2–8.

FIGURE. Lengths of hospital stays for sepsis, active component, U.S. Armed Forces, 2011–2020

You also may be interested in...

2018 #ColdReadiness Twitter chat recap: Preventing cold weather injuries for service members and their families

Fact Sheet
2/5/2018

To help protect U.S. armed forces, the Armed Forces Health Surveillance Branch (AFHSB) hosted a live #ColdReadiness Twitter chat on Wednesday, January 24th, 12-1:30 pm EST to discuss what service members and their families need to know about winter safety and preventing cold weather injuries as the temperatures drop. This fact sheet documents highlights from the Twitter chat.

Recommended Content:

Medical Surveillance Monthly Report | Winter Safety | Medical and Dental Preventive Care Fitness | Health Readiness & Combat Support

Demographic and Military Traits of Service Members Diagnosed as Traumatic Brain Injury Cases

Fact Sheet
3/30/2017

This fact sheet provides details on the demographic and military traits of service members diagnosed as traumatic brain injury (TBI) cases during a 16-year surveillance period from 2001 through 2016, a total of 276,858 active component service members received first-time diagnoses of TBI - a structural alteration of the brain or physiological disruption of brain function caused by an external force.

Recommended Content:

Armed Forces Health Surveillance Division | Medical Surveillance Monthly Report

Heat Illnesses by Location, Active Component, U.S. Armed Forces, 2012-2016 Fact Sheet

Fact Sheet
3/30/2017

This fact sheet provides details on heat illnesses by location during a five-year surveillance period from 2012 through 2016. 11,967 heat-related illnesses were diagnosed at more than 250 military installations and geographic locations worldwide. Three Army Installations accounted for close to one-third of all heat illnesses during the period.

Recommended Content:

Armed Forces Health Surveillance Division | Medical Surveillance Monthly Report

Rhabdomyolysis by Location, Active Component, U.S. Armed Forces, 2012-2016 Fact Sheet

Fact Sheet
3/30/2017

This fact sheet provides details on Rhabdomyolysis by location for active component, U.S. Armed Forces during a five-year surveillance period from 2012 through 2016. The medical treatment facilities at nine installations diagnosed at least 50 cases each and, together approximately half (49.9%) of all diagnosed cases.

Recommended Content:

Armed Forces Health Surveillance Division | Medical Surveillance Monthly Report
Showing results 1 - 4 Page 1 of 1
Refine your search
Last Updated: October 18, 2022
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery