Evidence map›Paper›PMID 28933936›Full record

ArticleAmerican journal of public health2017

Value of Public Health Funding in Preventing Hospital Bloodstream Infections in the United States.

Melanie D Whittington, Cathy J Bradley, Adam J Atherly, Jonathan D Campbell, Richard C Lindrooth

Abstract read
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Article in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Melanie D WhittingtonMelanie D. Whittington, Cathy J. Bradley, Adam J. Atherly, and Richard C. Lindrooth are with the Department of Health Systems, Management and Policy, University of Colorado Anschutz Medical Campus, Aurora. Melanie D. Whittington and Jonathan D. Campbell are with the Department of Clinical Pharmacy, University of Colorado Anschutz Medical Campus.
Cathy J BradleyMelanie D. Whittington, Cathy J. Bradley, Adam J. Atherly, and Richard C. Lindrooth are with the Department of Health Systems, Management and Policy, University of Colorado Anschutz Medical Campus, Aurora. Melanie D. Whittington and Jonathan D. Campbell are with the Department of Clinical Pharmacy, University of Colorado Anschutz Medical Campus.
Adam J AtherlyMelanie D. Whittington, Cathy J. Bradley, Adam J. Atherly, and Richard C. Lindrooth are with the Department of Health Systems, Management and Policy, University of Colorado Anschutz Medical Campus, Aurora. Melanie D. Whittington and Jonathan D. Campbell are with the Department of Clinical Pharmacy, University of Colorado Anschutz Medical Campus.
Jonathan D CampbellMelanie D. Whittington, Cathy J. Bradley, Adam J. Atherly, and Richard C. Lindrooth are with the Department of Health Systems, Management and Policy, University of Colorado Anschutz Medical Campus, Aurora. Melanie D. Whittington and Jonathan D. Campbell are with the Department of Clinical Pharmacy, University of Colorado Anschutz Medical Campus.
Richard C LindroothMelanie D. Whittington, Cathy J. Bradley, Adam J. Atherly, and Richard C. Lindrooth are with the Department of Health Systems, Management and Policy, University of Colorado Anschutz Medical Campus, Aurora. Melanie D. Whittington and Jonathan D. Campbell are with the Department of Clinical Pharmacy, University of Colorado Anschutz Medical Campus.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate the association of 1 activity of the Prevention and Public Health Fund with hospital bloodstream infections and calculate the return on investment (ROI).

methodsThe activity was funded for 1 year (2013). A difference-in-differences specification evaluated hospital standardized infection ratios (SIRs) before funding allocation (years 2011 and 2012) and after funding allocation (years 2013 and 2014) in the 15 US states that received the funding compared with hospital SIRs in states that did not receive the funding. We estimated the association of the funded public health activity with SIRs for bloodstream infections. We calculated the ROI by dividing cost offsets from infections averted by the amount invested.

resultsThe funding was associated with a 33% (P < .05) reduction in SIRs and an ROI of $1.10 to $11.20 per $1 invested in the year of funding allocation (2013). In 2014, after the funding stopped, significant reductions were no longer evident.

conclusionsThis activity was associated with a reduction in bloodstream infections large enough to recoup the investment. Public health funding of carefully targeted areas may improve health and reduce health care costs.

Indexed as

Financing, GovernmentCatheter-Related InfectionsControlled Before-After StudiesCross InfectionHumansPublic Health PracticeSepsisUnited States

Identifiers

PMID28933936
PMCPMC5637659

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.