Sepsis in Kentucky: 2024
Sepsis is the body’s overwhelming and life-threatening response to infection which can lead to tissue damage, organ failure and death. In the U.S. alone, sepsis affects 1.7 million people and takes 350,000 lives every year. However, as many as 80% of sepsis deaths could be prevented with rapid diagnosis and treatment. Costs to treat sepsis total $62 billion annually in the U.S.1
Sepsis happens when an infection you already have – in your skin, lungs, urinary tract, or somewhere else – triggers a chain reaction throughout your body. Without timely treatment, sepsis can rapidly lead to tissue damage, organ failure and death. It’s important to look for a combination of the warning signs of sepsis. Spotting these symptoms early could prevent the body from developing septic shock and could save a life. Symptoms of sepsis include fever, difficulty breathing, low blood pressure, fast heart rate and mental confusion. Other symptoms may include chills, dizziness, low body temperature, shivering, delirium, and skin discoloration. Screening patients for sepsis immediately when the patient presents to the emergency department (ED) allows providers to identify and begin treatment immediately.
All Kentucky hospitals are currently screening patients for sepsis at time of triage. Kentucky started this practice in 2022 and hospitals now successfully screen nearly 96% of patients at time of triage in the ED.
Sepsis in Kentucky Hospitals:
2018 Total Sepsis Inpatient Discharges = 34,212………………………..Total Charges $1,632,382,667
2019 Total Sepsis Inpatient Discharges = 35,429………………………..Total Charges $1,760,809,254
2020 Total Sepsis Inpatient Discharges = 36,022………………………..Total Charges $2,091,421,894
2021 Total Sepsis Inpatient Discharges = 35,511………………………..Total Charges $2,425,208,370
2022 Total Sepsis Inpatient Discharges = 35,372………………………..Total Charges $2,326,124,175
2023 Total Sepsis Inpatient Discharges = 37,153………………………..Total Charges $2,436,974,696
Sepsis Unspecified Organism principal diagnosis ranks the highest in the number of inpatient discharges and first in total charges.
Number of 2023 inpatient days for sepsis patients:
- Average Sepsis Inpatient Length of Stay: 6.52 days
- Average Inpatient length of Stay: 5.83 days
- Total Number of Days: 242,360
2023 Payer Distribution:
- Medicare: 22,931 (61.7%)
- Medicaid: 7,125 (19.2%)
(including Medicaid Managed Care) - Commercial: 5,483 (14.8%)
- Other: 1,133 (3.0%)
- Self-Pay & Charity: 481 (1.3%)
2023 Race of Sepsis Patients:
- Caucasian: 91.7%
- African American: 6.7%
- Other Races: 1.6%
2023 Gender of Sepsis Patients:
- Women: 19,617 (52.8%)
- Men: 17,532 (47.2%)
2023 Age Range of Sepsis Patients:
- Age 0-5: 234
- Age 6-17: 166
- Age 18-24: 469
- Age 25-34: 1,474
- Age 35-44: 2,359
- Age 45-54: 3,755
- Age 55-64: 7,108
- Age 65-74: 9,527
- Age 75-84: 8,091
- Age 85 +: 3,970
Data Source: KHA InfoSuite
While sepsis predominantly affects older adults, 58% are age 65 and older, it also affects younger adults and children.
Sepsis can have devastating consequences for children. More children die of sepsis than childhood cancer
according to Sepsis Alliance. Each year, approximately 75,000 children develop severe sepsis in the United States
alone. That’s more than 200 children per day.
In 2021, the CDC2, ranked Kentucky as the fourth highest state for Septicemia Mortality at an age adjusted death
rate of 16.9 (the number of deaths per 100,000 total population) with a total of 923 deaths.
Governor Andy Beshear signed a proclamation officially declaring the month of September 2024 as Sepsis Awareness Month to bring awareness to this life-threatening disease, acknowledge survivors, and honor those who have lost their lives to sepsis.
The Kentucky Sepsis Consortium is working with Kentucky hospitals statewide to reduce the morbidity and mortality caused by sepsis. The consortium focuses on improving sepsis outcomes through collaborative learning to achieve appropriate, timely and reliable implementation of evidence-based interventions.
In early 2020, the Kentucky State Senate unanimously passed Dayo’s Resolution, named after a two-time sepsis survivor. This Resolution recognizes and supports Kentucky Hospital Association’s creation of the statewide sepsis consortium with the goal of reducing the incidence of and harm from sepsis through education and quality improvement for Kentucky hospitals and their communities. All Kentucky hospitals have signed a letter of commitment to participate in the program. Teams at each hospital continue to make progress in improving processes to quickly screen, identify and treat sepsis.
For more information about the Sepsis Kentucky Consortium and KHA Data Center, contact:
Kentucky Sepsis Consortium
Deborah Campbell, RN-BC, MSN, CPHQ
Vice President, Clinical Strategy and Transformation
Kentucky Hospital Association
dcampbell@kyha.com
KHA Data Center
Maik Schutze
Director, Health Information and Analytics
Kentucky Hospital Association
mschutze@kyha.com
1 Sepsis Alliance. Sepsis Fact Sheet. 2023
2 CDC/National Center for Health Statistics
