September 03, 2019
Capital Regional Medical Center, an HCA Healthcare Affiliate is using an automated, real-time system to identify patients with sepsis, allowing caregivers to intervene quickly to save lives. HCA Healthcare's Sepsis Prediction and Optimization of Therapy, or SPOT, has been used with 2.5 million patients and, in conjunction with the use of evidence-based clinical interventions, has helped save an estimated 8,000 lives in the last five years.
Sepsis is an overwhelming infection that can lead to total body failure, and approximately 270,000 Americans die from it each year, making it more deadly than breast cancer, prostate cancer, and AIDS combined, according to Sepsis Alliance. Additionally, it is the No. 1 cause of death in non-cardiac intensive care units and the 11th leading cause of death overall in the U.S. Because the symptoms of sepsis are similar to those of many other illnesses, diagnosing it can be very challenging; however, studies have shown with early recognition followed by aggressive treatment, patient survival can increase significantly because sepsis mortality increases by 4 to 7 percent every hour it goes undetected.
"The sooner we effectively act to treat sepsis, the more likely the patient is to survive. SPOT is a technological system that helps to identify early sepsis and aids the provider in preventing bad outcomes," said Dr. Blake, Chief Medical Officer at Capital Regional Medical Center. "SPOT does not make decisions, but it exhibits vital, accurate, and up-to-date information to the people who do make life-saving interventions."
SPOT, which uses the popular dog name because it sniffs out sepsis in a way humans cannot, is an algorithm and alert system for the early detection of sepsis. Created by HCA Healthcare clinical and IT experts using data from millions of hospitalizations, SPOT is highly sensitive and extremely precise and continuously monitors vital signs, lab results, nursing reports and other data that can inform treatment, and sees the critical data points in patients' electronic health records. HCA Healthcare's SPOT links algorithmic sepsis detection with clinical workflow. It quickly alerts care teams of important and often subtle changes in a patient's condition so they can take appropriate action