Evidence map›Paper›PMID 27451968›Full record

ArticleHealth services research2017

Impact of State Reporting Laws on Central Line-Associated Bloodstream Infection Rates in U.S. Adult Intensive Care Units.

Hangsheng Liu, Carolyn T A Herzig, Andrew W Dick, E Yoko Furuya, Elaine Larson, Julie Reagan, Monika Pogorzelska-Maziarz, Patricia W Stone

Abstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Trends in antibiotics use among long-term US nursing-home residents.Infection control and hospital epidemiology · 2021
    Article
  3. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2020
    Article
  4. Measuring Quality in Home Healthcare.Journal of the American Geriatrics Society · 2019
    Article
  5. 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

8 authors.

Hangsheng LiuRAND Corporation, Boston, MA.
Carolyn T A HerzigCenter for Health Policy, Columbia University School of Nursing, New York, NY.
Andrew W DickRAND Corporation, Boston, MA.
E Yoko FuruyaColumbia University College of Physicians & Surgeons, New York-Presbyterian Hospital, New York, NY.
Elaine LarsonColumbia University School of Nursing, New York, NY.
Julie ReaganJiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA.
Monika Pogorzelska-MaziarzCollege of Nursing, Thomas Jefferson University, Philadelphia, PA.
Patricia W StoneCenter for Health Policy, Columbia University School of Nursing, New York, NY.

Funding

Prevention of Nosocomial Infections and Cost-Effectiveness Refined (P-NICER)R01NR010107 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI STONE, PATRICIA W. · 2007 to 2012
$3.2M
NINR NIH HHS R01 NR010107
6 · The paper itself

Abstract

objectiveTo examine the effect of mandated state health care-associated infection (HAI) reporting laws on central line-associated bloodstream infection (CLABSI) rates in adult intensive care units (ICUs). DATA SOURCES: We analyzed 2006-2012 adult ICU CLABSI and hospital annual survey data from the National Healthcare Safety Network. The final analytic sample included 244 hospitals, 947 hospital years, 475 ICUs, 1,902 ICU years, and 16,996 ICU months. STUDY

designWe used a quasi-experimental study design to identify the effect of state mandatory reporting laws. Several secondary models were conducted to explore potential explanations for the plausible effects of HAI laws. PRINCIPAL

findingsControlling for the overall time trend, ICUs in states with laws had lower CLABSI rates beginning approximately 6 months prior to the law's effective date (incidence rate ratio = 0.66; p < .001); this effect persisted for more than 6 1/2 years after the law's effective date. These findings were robust in secondary models and are likely to be attributed to changes in central line usage and/or resources dedicated to infection control.

conclusionsOur results provide valuable evidence that state reporting requirements for HAIs improved care. Additional studies are needed to further explore why and how mandatory HAI reporting laws decreased CLABSI rates.

Indexed as

Mandatory ReportingBacteremiaCatheterization, Central VenousCatheter-Related InfectionsCross InfectionHospitalsHumansIatrogenic DiseaseInfection ControlIntensive Care UnitsQuality ImprovementUnited StatesCLABSIhealth care-associated infectionshospitalsPublic reportingquality

Identifiers

PMID27451968
PMCPMC5441489

What OpenQuestion holds

Textmetadata
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.