Evidence map›Paper›PMID 24377056›Full record

ArticleISRN stroke2013

Hospital-Acquired Infection Underlies Poor Functional Outcome in Patients with Prolonged Length of Stay.

Alexander J George, Amelia K Boehme, James E Siegler, Dominique Monlezun, Bethena D Fowler, Amir Shaban, Karen C Albright, T Mark Beasley, Sheryl Martin-Schild

Open access · diamondAbstract read
In one paragraph

Article in ISRN stroke, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Postoperative wound complications and revisions in high-risk patients undergoing spine surgery with prophylactic muscle flap reconstruction: systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Dehydration independently predicts prolonged hospital stay following aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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  11. Readmission Rates in Stroke Patients with and without Infections: Incidence and Risk Factors.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  12. Association Between Chronic Inflammatory Diseases and Stroke-Associated Pneumonia - An Epidemiological Study.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
    Article
  13. Predictors of prolonged hospital stay in a Comprehensive Stroke Unit.Revista latino-americana de enfermagem · 2019
    Article
  14. Article
  15. Article
  16. Sex-Related Differences in the Risk of Hospital-Acquired Sepsis and Pneumonia Post Acute Ischemic Stroke.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2016
    Article
  17. Article
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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

9 authors at 2 institutions in 1 country.

Alexander J GeorgeStroke Program at Tulane University Hospital, Department of Neurology, 1440 Canal Street, TB-52, Suite 1000, New Orleans, LA 70112-2715, USA.
Amelia K BoehmeDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd., Birmingham, AL 35294-0022, USA ; Department of Neurology, School of Medicine, University of Alabama at Birmingham, 1670 University Blvd., Birmingham, AL 35233-0022, USA.
James E SieglerStroke Program at Tulane University Hospital, Department of Neurology, 1440 Canal Street, TB-52, Suite 1000, New Orleans, LA 70112-2715, USA.
Dominique MonlezunStroke Program at Tulane University Hospital, Department of Neurology, 1440 Canal Street, TB-52, Suite 1000, New Orleans, LA 70112-2715, USA.
Bethena D FowlerDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd., Birmingham, AL 35294-0022, USA ; Department of Neurology, School of Medicine, University of Alabama at Birmingham, 1670 University Blvd., Birmingham, AL 35233-0022, USA.
Amir ShabanStroke Program at Tulane University Hospital, Department of Neurology, 1440 Canal Street, TB-52, Suite 1000, New Orleans, LA 70112-2715, USA.
Karen C AlbrightDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd., Birmingham, AL 35294-0022, USA ; Health Services and Outcomes Research Center for Outcome and Effectiveness Research and Education (COERE), 1530 3rd Avenue South, Medical Towers, Birmingham, AL 35294-4410, USA ; Center of Excellence in Comparative Effectiveness Research for Eliminating Disparities (CERED) Minority Health & Health Disparities Research Center (MHRC), Medical Towers Building, 1717 11th Avenue South, Suite 516A, Birmingham, AL 35294-4410, USA.
T Mark BeasleyDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd., Birmingham, AL 35294-0022, USA.
Sheryl Martin-SchildStroke Program at Tulane University Hospital, Department of Neurology, 1440 Canal Street, TB-52, Suite 1000, New Orleans, LA 70112-2715, USA.
Tulane University · USUniversity of Alabama at Birmingham · US

Funding

RESEARCH TRAINING COREP60MD000502 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N. · 2003 to 2016
$16.2M
UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
AHRQ HHS T32 HS013852NIMHD NIH HHS P60 MD000502PHS HHS HS013852-07
6 · The paper itself

Abstract

introductionProlonged length of stay (pLOS) following ischemic stroke inflates cost, increases risk for hospital-acquired complications, and has been associated with worse prognosis.

methodsAcute ischemic stroke patients admitted between July 2008 and December 2010 were retrospectively analyzed for pLOS, defined as a patient stable for discharge hospitalized for an additional ≥24 hours.

resultsOf 274 patients included, 106 (38.7%) had pLOS (median age 65 years, 60.6% female, 69.0% black). Patients with pLOS had higher admission NIHSS than patients without pLOS (9 versus 5,

conclusionsThe contraction of a hospital-acquired infection was a significant predictor of pLOS and a contributor of poor short-term outcome following an ischemic stroke. Whether the cause or the consequence of pLOS, hospital-acquired infections are largely preventable and a target for reducing length of stay.

Identifiers

PMID24377056
PMCPMC3873143
OpenAlexW2063881829

What OpenQuestion holds

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Registered trials

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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.