Evidence map›Paper›PMID 27072043›Full record

ArticleInfection control and hospital epidemiology2016

Clinical Correlates of Surveillance Events Detected by National Healthcare Safety Network Pneumonia and Lower Respiratory Infection Definitions-Pennsylvania, 2011-2012.

Isaac See, Julia Chang, Nicole Gualandi, Genevieve L Buser, Pamela Rohrbach, Debra A Smeltz, Mary Jo Bellush, Susan E Coffin, Jane M Gould, Debra Hess and 7 more

Abstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Preventability of Hospital Deaths in Patients With Non-Ventilator Hospital-Acquired Pneumonia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Nonventilator hospital-acquired pneumonia: A call to action.Infection control and hospital epidemiology · 2021
    Article
  10. Dysphagia Screening for Pneumonia Prevention in a Cancer Hospital: Results of a Quality/Safety Initiative.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 1 country.

Isaac See1Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia.
Julia Chang3UCLA Geffen School of Medicine,Los Angeles,California.
Nicole Gualandi1Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia.
Genevieve L Buser2Epidemic Intelligence Service,Center for Surveillance,Epidemiology and Laboratory Services,Centers for Disease Control and Prevention,Atlanta,GA.
Pamela Rohrbach5Pennsylvania Department of Health,Harrisburg,Pennsylvania.
Debra A Smeltz5Pennsylvania Department of Health,Harrisburg,Pennsylvania.
Mary Jo Bellush6Excela Health Westmoreland Hospital,Greensburg,Pennsylvania.
Susan E Coffin7The Children's Hospital of Philadelphia,Philadelphia,Pennsylvania.
Jane M Gould8St. Christopher's Hospital for Children,Philadelphia,Pennsylvania.
Debra Hess9Lancaster General Hospital,Lancaster,PA.
Patricia Hennessey8St. Christopher's Hospital for Children,Philadelphia,Pennsylvania.
Sydney Hubbard7The Children's Hospital of Philadelphia,Philadelphia,Pennsylvania.
Andrea Kiernan8St. Christopher's Hospital for Children,Philadelphia,Pennsylvania.
Judith O'Donnell10Pennsylvania Presbyterian Medical Center,Philadelphia,Pennsylvania.
David A Pegues11University of Pennsylvania Health System,Philadelphia,Pennsylvania.
Jeffrey R Miller12Office of Public Health Preparedness and Response,CDC,assigned to the Pennsylvania Department of Health,Harrisburg,Pennsylvania.
Shelley S Magill1Division of Healthcare Quality Promotion,Centers for Disease Control and Prevention,Atlanta,Georgia.
Centers for Disease Control and Prevention · USPennsylvania Department of Health · USSt. Christopher's Hospital for Children · USChildren's Hospital of Philadelphia · USLancaster General Hospital · USOregon Health Authority · USPenn Presbyterian Medical Center · USUniversity of California, Los Angeles · USUniversity of Pennsylvania Health System · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

OBJECTIVE To determine the clinical diagnoses associated with the National Healthcare Safety Network (NHSN) pneumonia (PNEU) or lower respiratory infection (LRI) surveillance events DESIGN Retrospective chart review SETTING A convenience sample of 8 acute-care hospitals in Pennsylvania PATIENTS All patients hospitalized during 2011-2012 METHODS Medical records were reviewed from a random sample of patients reported to the NHSN to have PNEU or LRI, excluding adults with ventilator-associated PNEU. Documented clinical diagnoses corresponding temporally to the PNEU and LRI events were recorded. RESULTS We reviewed 250 (30%) of 838 eligible PNEU and LRI events reported to the NHSN; 29 reported events (12%) fulfilled neither PNEU nor LRI case criteria. Differences interpreting radiology reports accounted for most misclassifications. Of 81 PNEU events in adults not on mechanical ventilation, 84% had clinician-diagnosed pneumonia; of these, 25% were attributed to aspiration. Of 43 adult LRI, 88% were in mechanically ventilated patients and 35% had no corresponding clinical diagnosis (infectious or noninfectious) documented at the time of LRI. Of 36 pediatric PNEU events, 72% were ventilator associated, and 70% corresponded to a clinical pneumonia diagnosis. Of 61 pediatric LRI patients, 84% were mechanically ventilated and 21% had no corresponding clinical diagnosis documented. CONCLUSIONS In adults not on mechanical ventilation and in children, most NHSN-defined PNEU events corresponded with compatible clinical conditions documented in the medical record. In contrast, NHSN LRI events often did not. As a result, substantial modifications to the LRI definitions were implemented in 2015. Infect Control Hosp Epidemiol 2016;37:818-824.

Indexed as

AdultAgedAged, 80 and overChildChild, PreschoolCross InfectionHumansInfantInfant, NewbornMiddle AgedPennsylvaniaPneumoniaPneumonia, Ventilator-AssociatedPopulation SurveillanceRespiratory Tract InfectionsRetrospective Studies

Identifiers

PMID27072043
PMCPMC5662932
OpenAlexW2341705967

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.