Evidence map›Paper›PMID 30120718›Full record

ArticleInfection2019

Infectious disease services: a survey from four university hospitals in Germany.

Siegbert Rieg, Florian Hitzenbichler, Stefan Hagel, Isabelle Suarez, Florian Kron, Bernd Salzberger, Mathias Pletz, Winfried V Kern, Gerd Fätkenheuer, Norma Jung

Abstract read
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In one paragraph

Article in Infection, 2019. 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
0.9field-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. Definition of patient complexity in adults: A narrative review.Journal of multimorbidity and comorbidity · 2022
    Review
  6. Review
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

10 authors at 5 institutions in 1 country.

Siegbert RiegDivision of Infectious Diseases, Department of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany. siegbert.rieg@uniklinik-freiburg.de.
Florian HitzenbichlerInfectious Diseases Unit, University Hospital of Regensburg, Regensburg, Germany.
Stefan HagelInfectious Disease, University Hospital of Jena, Jena, Germany.
Isabelle SuarezDepartment I of Internal Medicine, University Hospital of Cologne, Cologne, Germany.
Florian KronDepartment I of Internal Medicine, University Hospital of Cologne, Cologne, Germany.
Bernd SalzbergerInfectious Diseases Unit, University Hospital of Regensburg, Regensburg, Germany.
Mathias PletzInfectious Disease, University Hospital of Jena, Jena, Germany.
Winfried V KernDivision of Infectious Diseases, Department of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg, Germany.
Gerd FätkenheuerDepartment I of Internal Medicine, University Hospital of Cologne, Cologne, Germany.
Norma JungDepartment I of Internal Medicine, University Hospital of Cologne, Cologne, Germany.
German Center for Infection Research · DEJena University Hospital · DEUniversity Hospital Cologne · DEUniversity Hospital Regensburg · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInvolvement of infectious disease (ID) specialists in the care of hospitalized patients with infections through consultation services improves the quality of care and the outcome of patients. This survey aimed to describe activities and utilization of ID consultations at four German tertiary care hospitals.

methodsA 1-month (March 2016) retrospective cross-sectional study at four university hospitals (Freiburg, Jena, Cologne and Regensburg) was performed. Only ID consultations with written documentation and bedside patient evaluation were included. Consultations were analyzed with regard to requesting departments, infections, case severity, and diagnostic and therapeutic recommendations.

resultsIn the study period, 638 ID consultations were performed in 479 patients-corresponding to 3-4 consultations per 100 inpatient cases. Patients were characterized by a high disease complexity-the mean case mix index in patients with consultation was 10.1 compared to 1.6 for all patients. ID consultations were requested by many different specialties, with approximately half of the requests coming from surgical disciplines. ID consultations resulted in revised diagnoses in 34% of the cases, provided recommendations for additional diagnostic procedures in 66%, and for modifications of antimicrobial regimens in 70% of the cases.

conclusionsInfectious disease consultations were requested for patients with severe and complicated diseases and resulted in recommendations that highly impacted the diagnostic work-up and therapeutic management of patients. The results of this survey may help to estimate requirements for establishment of such services in Germany.

Indexed as

Hospitals, UniversityInpatientsAgedCommunicable Disease ControlCommunicable DiseasesCross-Sectional StudiesFemaleGermanyHumansMaleMiddle AgedReferral and ConsultationRetrospective StudiesSpecializationDifficult-to-treat infectionsInfectious disease consultationPatient managementQuality indicatorsQuality of careSurvival

Identifiers

PMID30120718
OpenAlexW2885689801

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.