Evidence map›Paper›PMID 27207157›Full record

ArticleAmerican journal of infection control2016

Trends in mortality, length of stay, and hospital charges associated with health care-associated infections, 2006-2012.

Sherry Glied, Bevin Cohen, Jianfang Liu, Matthew Neidell, Elaine Larson

Abstract read
In one paragraph

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. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
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  8. Article
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  12. Drug-resistant bacteria on hands of healthcare workers and in the patient area: an environmental survey in Southern Italy's hospital.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2019
    Article
  13. Article
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  15. Observational
  16. Does hospital ownership influence hand hygiene compliance?Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban · 2017
    Article
  17. 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

5 authors.

Sherry GliedRobert F. Wagner Graduate School of Public Service, New York University, New York, NY.
Bevin CohenColumbia University School of Nursing, New York, NY. Electronic address: bac2116@columbia.edu.
Jianfang LiuColumbia University School of Nursing, New York, NY.
Matthew NeidellDepartment of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY.
Elaine LarsonColumbia University School of Nursing, New York, NY.

Funding

Health Information Technology to Reduce Healthcare-Associated Infections: HIT-HAIR01NR010822 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LARSON, ELAINE LUCILLE · 2007 to 2015
$3.0M
NINR NIH HHS R01 NR010822
6 · The paper itself

Abstract

backgroundMany factors associated with hospital-acquired infections (HAIs), including reimbursement policies, drug prices, practice patterns, and the distribution of organisms causing infections, change over time. We examined whether outcomes, including mortality, length of stay (LOS), daily charges, and total charges associated with HAIs, changed during 2006-2012.

methodsElectronic data on adults discharged from 2 tertiary-quaternary hospitals and 1 community hospital during 2006-2012 were collected retrospectively. Computerized algorithms identified infections using laboratory and administrative codes. Propensity scores were used to match cases with uninfected controls. Differences in mortality, LOS, daily charges, and total charges were modeled against infection status and time period (2006-2008 vs 2009-2012), including interaction for infection status by time period.

resultsAmong 352,077 discharges, 24,466 HAIs were detected. There was no significant change in mortality. LOS declined only for bloodstream infections (3-day reduction; P < 0.01). Daily charges rose 4% for urinary tract infections but did not change significantly for other HAIs. Total charges declined by 11% for bloodstream infections and 13% for pneumonia.

conclusionsWe found no appreciable or consistent improvement in HAI mortality or LOS during 2006-2012. Costs of bloodstream infections and pneumonia have declined, with most of the change occurring before 2008.

Indexed as

Hospital ChargesLength of StayAdultAgedAged, 80 and overCross InfectionFemaleHospitalsHumansMaleMiddle AgedRetrospective StudiesSurvival AnalysisHealth care–associated infectionsvalue-based purchasing

Identifiers

PMID27207157
PMCPMC5011005

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.