Evidence map›Paper›PMID 25681302›Full record

ArticleAmerican journal of infection control2015

Infection in home health care: Results from national Outcome and Assessment Information Set data.

Jingjing Shang, Elaine Larson, Jianfang Liu, Patricia Stone

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of infection control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 9% 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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

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  20. Infection trends in home health care, 2013-2018.Infection control and hospital epidemiology · 2021
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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

4 authors at 1 institution in 1 country.

Jingjing ShangSchool of Nursing, Columbia University, New York, NY. Electronic address: js4032@columbia.edu.
Elaine LarsonSchool of Nursing, Columbia University, New York, NY.
Jianfang LiuSchool of Nursing, Columbia University, New York, NY.
Patricia StoneSchool of Nursing, Columbia University, New York, NY.
Columbia University · US

Funding

Healthcare Associated Infections in Home Health CareR03NR013966 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING · 2013 to 2014
$159k
NINR NIH HHS R03 NR013966NINR NIH HHS R03NR013966-01
6 · The paper itself

Abstract

backgroundPatients in home health care (HHC), the fastest growing health care sector, are at risk for infection. The existing research on infection in HHC is often limited by small sample sizes, local scope of inquiry, and a lack of current data. There is no national study examining agency-level infection rates.

methodsThis secondary data analysis used a 20% random sample of the 2010 national Outcome and Assessment Information Set (OASIS) data. An infection case was identified when the HHC patient was hospitalized or received emergency care for respiratory infection, urinary tract infection, intravenous catheter-related infection, wound infection, or deterioration. Proportions of infection cases out of the total number of patients were calculated for the whole sample and for each HHC agency.

resultsThe final analysis included 199,462 patients from 8,255 HHC agencies. Approximately 3.5% of patients developed infections during their HHC stay, leading to emergency care treatment or hospitalization. Seventeen percent of unplanned hospitalizations among HHC patients were caused by infections. The agency-level infection rate ranged from 0%-34%, with an average of 3.5%.

conclusionTo our knowledge, this is the first study to examine the proportion of hospitalizations or emergency care treatment caused by infection in HHC and the agency-level infection rate at a national level by using OASIS data. These data demonstrate that infection is a serious problem in HHC, and infection rates varied between agencies. The variance in agency level rates may be caused by differences in infection control policies and practices. Better infection surveillance system in HHC is needed to benchmark quality of care.

Indexed as

Home Care ServicesAgedAged, 80 and overCommunicable DiseasesEmergency Medical ServicesFemaleHospitalizationHumansIncidenceMaleMiddle AgedHome health careInfectionOutcome and Assessment Information Set

Identifiers

PMID25681302
PMCPMC4437508
OpenAlexW2030449097

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.