RESULTS: A total of 226,649 cases of severe sepsis were identified, with the number of admissions relatively evenly distributed between teaching hospitals (115,484; 51%) and non-teaching (111,165; 49%) hospitals. The study population consisted of 50.9% males, 68.6% whites, and a mean age of 66.9 years (S.D 17.89). Mortality rates were significantly higher at 30.31% in teaching hospitals compared to 27.74% in non-teaching hospitals (p<0.001, hazards ratio 1.133, CI 1.113-1.154). Length of stay was 3.73 days longer (11.04 days versus 14.77 days) in teaching institutions compared to their non-teaching counterparts (p<0.001). Costs incurred per admission were also $37,894 higher at teaching hospitals ($150,747 versus $112,853) at the p<0.001 level.