Evidence map›Paper›PMID 28177854›Full record

ArticleSurgical infections2017

Risk Factors for 30-Day Hospital Re-Admission with an Infectious Complication after Lower-Extremity Vascular Procedures.

Joseph C Melvin, Jamie B Smith, Robin L Kruse, Todd R Vogel

Open access · greenAbstract read
In one paragraph

Article in Surgical infections, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

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  12. Impact of Patient Safety Indicators on readmission after abdominal aortic surgery.Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing · 2018
    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

4 authors at 1 institution in 1 country.

Joseph C Melvin1 Division of Vascular Surgery, University of Missouri School of Medicine , Columbia, Missouri.
Jamie B Smith2 Department of Family and Community Medicine, University of Missouri School of Medicine , Columbia, Missouri.
Robin L Kruse2 Department of Family and Community Medicine, University of Missouri School of Medicine , Columbia, Missouri.
Todd R Vogel1 Division of Vascular Surgery, University of Missouri School of Medicine , Columbia, Missouri.
University of Missouri · US

Funding

Building Patient Centered Outcomes Research Capacity: Care TransitionsR24HS022140 · AHRQ · UNIVERSITY OF MISSOURI-COLUMBIA · PI MEHR, DAVID R · 2013 to 2017
$4.5M
AHRQ HHS R24 HS022140
6 · The paper itself

Abstract

backgroundLowering the 30-d re-admission rate after vascular surgery offers the potential to improve healthcare quality. This study evaluated re-admission associated with infections after open and endovascular lower extremity (LE) procedures for peripheral artery disease (PAD).

methodsPatients admitted for elective LE procedures for PAD were selected from the Cerner Health Facts

resultsA total of 7,089 patients underwent elective LE procedures, of whom 770 (10.9%) were re-admitted within 30 d. A total of 289 (37.5%) had a diagnosis of infection during the re-admission. These infections included surgical site (14.8%), cellulitis (13.6%), sepsis (8.8%), urinary tract (4.9%), and pneumonia (4.9%). Index stay factors associated with infection at re-admission were fluid and electrolyte disorders, kidney disease, diabetes, previous infection, and chronic anemia. Laboratory results associated with an infection during re-admission were post-operative hemoglobin <8 g/dL, blood urea nitrogen >20 mg/dL, platelet counts >400 × 10

conclusionsInfectious complications were associated with more than one-third of all re-admissions after LE procedures. Predictors of re-admission within 30 d with an infectious complication were longer stay, greater co-morbidity burden, hospitalization in teaching facilities, hemoglobin <8 g/dL, and an infection during the index stay. Microbiology examination at re-admission demonstrated gram-negative bacteria in more than 40% of infections. Further evaluation of high-risk vascular patients prior to discharge and consideration of antibiotic administration for gram-negative organisms at the time of re-admission may improve outcomes.

Indexed as

Patient ReadmissionVascular Surgical ProceduresAdultAgedAged, 80 and overFemaleHospitalsHumansLower ExtremityMaleMiddle AgedPeripheral Arterial DiseaseRisk FactorsSurgical Wound InfectionYoung Adult

Identifiers

PMID28177854
PMCPMC5796593
OpenAlexW2586820520

What OpenQuestion holds

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Registered trials

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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.