Evidence map›Paper›PMID 29608938›Full record

ArticleThe Journal of hospital infection2018

Tuberculosis infection via the emergency department among inpatients in South Korea: a propensity score matched analysis of the National Inpatient Sample.

J-Y Min, H-J Kim, C Yoon, K Lee, M Yeo, K-B Min

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Article in The Journal of hospital infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

J-Y MinInstitute of Health and Environment, Seoul National University, Graduate School of Public Health, Seoul, Republic of Korea.
H-J KimInstitute of Health and Environment, Seoul National University, Graduate School of Public Health, Seoul, Republic of Korea.
C YoonInstitute of Health and Environment, Seoul National University, Graduate School of Public Health, Seoul, Republic of Korea; Department of Environmental Health Sciences, Seoul National University, Graduate School of Public Health, Seoul, Republic of Korea.
K LeeInstitute of Health and Environment, Seoul National University, Graduate School of Public Health, Seoul, Republic of Korea; Department of Environmental Health Sciences, Seoul National University, Graduate School of Public Health, Seoul, Republic of Korea.
M YeoDepartment of Architecture and Architectural Engineering, College of Engineering, Seoul National University, Seoul, Republic of Korea.
K-B MinDepartment of Preventive Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea. Electronic address: minkb@snu.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency departments (EDs) carry a high risk of infectious disease transmission and have also been implicated in tuberculosis (TB) outbreaks.

aimTo determine if patients who visit EDs have an increased risk of TB infection. Using South Korean inpatient sample data (2012), the risk of TB occurrence during 90 days after hospitalization for patients admitted via EDs was compared with that for patients admitted via outpatient clinics.

methodsThe data of the 2012 Health Insurance Review and Assessment Service - National Inpatient Sample were used. TB diagnosis was based on International Classification of Diseases Version 10 [all TB (A15-A19), pulmonary TB (A15-A16) and extrapulmonary TB (A17-A18)].

findingsAfter propensity score matching using the demographic and clinical characteristics of the patients, 191,997 patients (64,017 patients admitted via EDs and 127,908 patients admitted via outpatient clinics) were included in this study. There was no significant difference in baseline patient characteristics between the two groups. The percentage of patients with TB admitted via EDs was higher than that of patients admitted via outpatient clinics. The likelihood of active TB occurrence was 30% higher for all TB [hazard ratio (HR) 1.30; 95% confidence interval (CI) 1.12-1.52] and pulmonary TB (HR 1.30; 95% CI 1.10-1.53) in patients admitted via EDs compared with patients admitted via outpatient clinics; this difference was significant. However, no difference in the occurrence of extrapulmonary TB was observed between the two groups.

conclusionsThe likelihood of TB infection was greater in patients admitted via EDs than in patients admitted via outpatient clinics.

Indexed as

Disease Transmission, InfectiousAdultAgedAged, 80 and overEmergency Medical ServicesEmergency Service, HospitalFemaleHumansMaleMiddle AgedPropensity ScoreRepublic of KoreaRisk AssessmentTuberculosisYoung AdultInpatientNosocomial infectionsPropensity score matchingTB

Identifiers

PMID29608938
PMCPMC7114590

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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.