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.