Evidence map›Paper›PMID 22000624›Full record

Trial reportThe American journal of medicine2011

Processes of care and outcomes for community-acquired pneumonia.

Jonathan S Lee, Brian A Primack, Maria K Mor, Roslyn A Stone, D Scott Obrosky, Donald M Yealy, Michael J Fine

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The American journal of medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Perceived Competition and Process of Care in Rural China.Risk management and healthcare policy · 2020
    Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jonathan S LeeDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, PA, USA.
Brian A Primack
Maria K Mor
Roslyn A Stone
D Scott Obrosky
Donald M Yealy
Michael J Fine

Funding

Media Literacy to Prevent Adolescent Smoking InitiationK07CA114315 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PRIMACK, BRIAN A. · 2006 to 2010
$766k
RESEARCH PROGRAM TO IMPROVE QUALITY CARE FOR PNEUMONIAK24AI001769 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FINE, MICHAEL J · 2000 to 2004
$598k
GUIDELINE TO IMPROVE QUALITY OF INITIAL PNEUMONIA CARER01HS010049 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FINE, MICHAEL J · 1999 to 2002
–
AHRQ HHS R01 HS010049AHRQ HHS R01-HS10049NCI NIH HHS K07 CA114315NCI NIH HHS K07-CA114315NIAID NIH HHS K24 AI001769NIAID NIH HHS K24-AI001769
6 · The paper itself

Abstract

backgroundAlthough processes of care are common proxies for health care quality, their associations with medical outcomes remain uncertain.

methodsFor 2076 patients hospitalized with pneumonia from 32 emergency departments, we used multilevel logistic regression modeling to assess independent associations between patient outcomes and the performance of 4 individual processes of care (assessment of oxygenation, blood cultures, and rapid initiation [<4 hours] and appropriate selection of antibiotic therapy) and the cumulative number of processes of care performed.

resultsOverall, 141 patients (6.8%) died. Mortality was 0.3% to 1.7% lower for patients who had each of the individual processes of care performed (P≥.13 for each comparison); mortality was 7.5% for patients who had 0 to 2 processes of care, 7.2% for those with 3 processes of care, and 5.8% for those with all 4 processes of care performed (P=.39). Mortality was not significantly associated with either individual or cumulative process measures in multivariable models.

conclusionNeither the individual processes of care nor the cumulative number performed is associated with short-term mortality for pneumonia.

Indexed as

Outcome and Process Assessment, Health CareAdultAgedAnti-Infective AgentsChi-Square DistributionCommunity-Acquired InfectionsConnecticutEvidence-Based MedicineFemaleGuideline AdherenceHospital MortalityHumansLogistic ModelsMaleMiddle AgedPennsylvaniaAnti-Infective Agents

Identifiers

PMID22000624
PMCPMC3578284

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.