Clinical and epidemiological variability in severe sepsis: an ecological study.
Jayamalathi Priyanka VakkalankaKarisa K HarlandMorgan B SwansonNicholas M MohrPublished in: Journal of epidemiology and community health (2018)
Sepsis incidence varies geographically, and access to healthcare is one proposed mechanism that may explain heterogeneity. Over time, we may be capturing higher acuity sepsis cases with better recognition and management, as well as observing differential diagnostic coding documentation by location.