Bulletin of the World Health Organization

Nationwide survey on resource availability for implementing current sepsis guidelines in Mongolia

Otgon Bataar, Ganbold Lundeg, Ganbat Tsenddorj, Stefan Jochberger, Wilhelm Grander, Inipavudu Baelani, Iain Wilson, Tim Baker, Martin W Dünser & for the Helfen Berührt Study Team

Volume 88, Number 11, November 2010, 839-846

Table 5. Percentages of implementable Surviving Sepsis Campaign recommendations/suggestions in 38 secondary and tertiary hospitals in Mongolia, 2009

Recommendations/suggestionsa Mongolia (n = 38)
Central hospitals (n = 20)
Peripheral hospitals (n = 18)
P-value
Median % IQR Median % IQR Median % IQR
All 52.8 45.8–67.4 52.2 46.3–68.3 52.8 44.1–61.5 0.68
Level I, recommendations 68.0 58.0–80.5 70.0 58.5–82.0 67.0 57.5–74.0 0.48
Level IA and IB recommendations 75.0 62.5–83.3 79.2 66.7–86.5 75.0 61.5–83.3 0.24
Level IC and ID recommendations 59.6 52.9–73.1 59.6 51.0–78.8 59.6 52.9–67.3 0.85
Level II, suggestions 43.5 34.8–57.6 43.5 35.9–59.8 41.3 33.7–57.6 0.53

IQR, interquartile range.

a Recommendations refer to interventions whose desirable effects clearly do or do not outweigh the risks. Thus, recommendations should be followed by physicians in most situations. Suggestions, on the other hand, are formulated when the relation between an intervention’s desirable and undesirable effects is less clear. A physician can choose to follow a suggestion but is not required to do so. The level indicates the strength of the clinical evidence supporting the recommendations/suggestions, with level IA being supported by the strongest evidence and level II by the weakest.

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