Evidence map›Paper›PMID 26999613›Full record

ArticlePloS one2016

Excess Mortality Attributable to Clostridium difficile and Risk Factors for Infection in an Historic Cohort of Hospitalised Patients Followed Up in the United Kingdom Death Register.

Mark Reacher, Neville Q Verlander, Iain Roddick, Cheryl Trundle, Nicholas Brown, Mark Farrington, Philip Jones

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 at 3 institutions in 1 country.

Mark ReacherCambridge Institute of Public Health, Public Health England, National Infection Service, Field Epidemiology Service, Cambridge, United Kingdom.
Neville Q VerlanderStatistics unit, Statistics, Modelling and Economics Department, Public Health England, National Infection Service, Colindale, London, United Kingdom.
Iain RoddickCambridge Institute of Public Health, Public Health England, National Infection Service, Field Epidemiology Service, Cambridge, United Kingdom.
Cheryl TrundleClinical Microbiology and Public Health Laboratory (Public Health England), Addenbrooke's Hospital, Cambridge, United Kingdom.
Nicholas BrownClinical Microbiology and Public Health Laboratory (Public Health England), Addenbrooke's Hospital, Cambridge, United Kingdom.
Mark FarringtonClinical Microbiology and Public Health Laboratory (Public Health England), Addenbrooke's Hospital, Cambridge, United Kingdom.
Philip JonesDepartment of Medical Microbiology, Ipswich Hospital, Ipswich, United Kingdom.
Public Health England · GBAddenbrooke's Hospital · GBIpswich Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

methodsWe compared time from hospital admission to death in a probability sample of 100 Clostridium difficile infected cases and a probability sample of 98 non-cases admitted to an English teaching hospital between 2005 and 2007 with follow up in the UK national death register using survival analysis.

resultsClostridium difficile infection was associated with a 50% increased risk of death (Hazard Ratio 1.51 (95% CI: 1.05-2.19 p = 0.03) at between five to eight years in Cox Regression analysis adjusting for age, sex, Charlson comorbidity index, diagnosis of a malignant condition and insertion of a nasogastric tube during admission. Acquisition of Clostridium difficile infection was independently associated with an almost six fold higher odds of being admitted with a diagnosis of infection of any other type (OR 5.79 (2.19, 15.25) p<0.001).

conclusionsOur results strongly support continued priority being given to improve prevention and treatment of Clostridium difficile infection in the English National Health Service particularly in patients admitted with an infection. Our results may be applicable to other health systems.

Indexed as

HospitalizationRegistriesClostridioides difficileClostridium InfectionsCohort StudiesFemaleHumansMaleRisk FactorsUnited Kingdom

Identifiers

PMID26999613
PMCPMC4801172
OpenAlexW2302587292

What OpenQuestion holds

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LicenceCC BY
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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.