Evidence map›Paper›PMID 26442459›Full record

ArticleAmerican journal of infection control2016

Patient volumes and pre- and postdischarge postpartum infection: A retrospective cohort study.

Andrea M Parriott, Onyebuchi A Arah

Abstract read
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Article in American journal of infection control, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Andrea M ParriottDepartment of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA. Electronic address: aparriott@ucla.edu.
Onyebuchi A ArahDepartment of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA; UCLA Center for Health Policy Research, Los Angeles, CA; California Center for Population Research, UCLA, Los Angeles, CA.

Funding

UCLA/RAND HEALTH SERVICES RESEARCH TRAINING PROGRAMT32HS000046 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EISENBERG, DANIEL · 1992 to 2024
$8.7M
AHRQ HHS T32 HS000046
6 · The paper itself

Abstract

backgroundTo examine the association between hospital and clinician obstetric volume and postpartum infection risk in the pre- and postdischarge periods.

methodsWe used data from the 2011 New York State Inpatient and Emergency Department Databases to fit generalized estimating equation models to examine the effect of hospital and clinician obstetric volume on infection before discharge and in the 30 days after discharge after delivery.

resultsHigher clinician volume was associated with lower predischarge infection risk (odds ratio [OR] for first vs third quartile was 0.84; 95% confidence interval [CI], 0.77-0.98). There was an uncertain trend toward higher predischarge infection risk in higher volume hospitals (OR for first vs third quartile was 1.36; 95% CI, 0.79-2.34). We found no associations between patient volumes and postdischarge infections; however, power was insufficient to rule out small associations. The joint association of hospital and clinician volumes with postdischarge infection appeared submultiplicative (product term OR = 0.95; 95% CI, 0.92-0.98).

conclusionThis study adds to the evidence that hospital obstetric volume is positively associated with predischarge postpartum infections, whereas clinician volume may be negatively associated with those predischarge infections. The associations between hospital obstetric volume and postdischarge infection appear to differ. These results underscore the importance of including postdischarge follow-up in hospital-based studies of postpartum infection.

Indexed as

Cohort StudiesDelivery, ObstetricEmergency Service, HospitalFemaleHospitals, High-VolumeHumansNew YorkOdds RatioPatient DischargePatient SafetyPostpartum PeriodPregnancyPuerperal InfectionRetrospective StudiesPatient safetyPatient volumePostpartum infectionPuerperal infection

Identifiers

PMID26442459
PMCPMC5612440

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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.