Evidence map›Paper›PMID 27388348›Full record

ArticleBMJ open2016

Bacteraemia predictive factors among general medical inpatients: a retrospective cross-sectional survey in a Japanese university hospital.

Sayato Fukui, Yuki Uehara, Kazutoshi Fujibayashi, Osamu Takahashi, Teruhiko Hisaoka, Toshio Naito

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

6 authors at 2 institutions in 1 country.

Sayato FukuiDepartment of General Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Yuki UeharaDepartment of General Medicine, Juntendo University School of Medicine, Tokyo, Japan Department of Infection Control Science, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Kazutoshi FujibayashiDepartment of General Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Osamu TakahashiCenter for Clinical Epidemiology, St. Luke's Life Science Institute, Tokyo, Japan.
Teruhiko HisaokaDepartment of General Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Toshio NaitoDepartment of General Medicine, Juntendo University School of Medicine, Tokyo, Japan Department of Infection Control Science, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Juntendo University · JPLife Science Institute · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe precise criteria for obtaining blood cultures have not been established; they depend on the physician's judgement. We examined clinical parameters to determine predictive factors of bacteraemia and the need for blood cultures among general medical inpatients.

designA retrospective cross-sectional survey.

settingA Japanese university hospital.

participantsAll general inpatients who had blood cultures taken from 1 January 2011 to 31 December 2012. MAIN MEASURES: Clinical information at or just before blood culture sampling was extracted from medical charts. Factors potentially predictive of bacteraemia were analysed using Fisher's exact test, followed by multivariable logistic regression model analysis. MAIN

resultsA total of 200 patients (male: female=119:81, 64.3±19.1 years old) comprised this study; 57 (28.5%) had positive blood culture results. Multivariable logistic regression analysis revealed that age >60 years (OR=2.75, 95% CI 1.23 to 6.48, p=0.015), female sex (OR=2.21, 95% CI 1.07 to 4.67, p=0.038), pulse rate >90 bpm (OR=5.18, 95% CI 2.25 to 12.48, p<0.001) and neutrophil percentage >80% (OR=3.61, 95% CI 1.71 to 8.00, p=0.001) were independent risk factors for positive blood culture results. The area under the receiver operating characteristic curve analysis of this model was 0.796.

conclusionsOur results emphasise the importance of taking blood cultures if the pulse rate is >90 bpm, in elderly patients and in women, and for ordering a differential white cell count.

Indexed as

HospitalizationAdultAgedAged, 80 and overAge FactorsArea Under CurveArthritis, InfectiousBacteremiaBlood CultureBlood Urea NitrogenCatheter-Related InfectionsCentral Venous CathetersCholangitisCholecystitisCreatinineCross-Sectional StudiesCreatinineGENERAL MEDICINE (see Internal Medicine)INFECTIOUS DISEASES

Identifiers

PMID27388348
PMCPMC4947759
OpenAlexW2471156511

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.