Evidence map›Paper›PMID 30298924›Full record

ArticleHealth services research2018

The Impact of Healthcare-Associated Methicillin-Resistant Staphylococcus aureus Infections on Postdischarge Health Care Costs and Utilization across Multiple Health Care Systems.

Richard E Nelson, Makoto Jones, Chuan-Fen Liu, Matthew H Samore, Martin E Evans, Vanessa W Stevens, Thomas Reese, Michael A Rubin

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Mortality, Length of Stay, and Healthcare Costs Associated With Multidrug-Resistant Bacterial Infections Among Elderly Hospitalized Patients in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  5. Comparative genomics of dairy-associatedFrontiers in microbiology · 2022
    Article
  6. Nonventilator hospital-acquired pneumonia: A call to action.Infection control and hospital epidemiology · 2021
    Article
  7. National Estimates of Healthcare Costs Associated With Multidrug-Resistant Bacterial Infections Among Hospitalized Patients in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  8. 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 at 3 institutions in 1 country.

Richard E NelsonVeterans Affairs Salt Lake City Health Care System, Salt Lake City, UT.ORCID 0000-0002-4441-7460
Makoto JonesVeterans Affairs Salt Lake City Health Care System, Salt Lake City, UT.
Chuan-Fen LiuVeterans Affairs Puget Sound Health Care System, Seattle, WA.ORCID 0000-0002-6915-8194
Matthew H SamoreVeterans Affairs Salt Lake City Health Care System, Salt Lake City, UT.
Martin E EvansLexington Veterans Affairs Medical Center, Lexington, KY.
Vanessa W StevensVeterans Affairs Salt Lake City Health Care System, Salt Lake City, UT.
Thomas ReeseDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT.
Michael A RubinVeterans Affairs Salt Lake City Health Care System, Salt Lake City, UT.
University of Utah · USUnited States Department of Veterans Affairs · USUniversity of Washington · US

Funding

Informatics, Decision-Enhancement and Analytic Sciences CenterI50HX001240 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI SAMORE, MATTHEW H · 2015 to 2015
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Using Economics and Epidemiology to Evaluate MRSA Decolonization in the VAIK2HX000860 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI NELSON, RICHARD E. · 2014 to 2016
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HSRD VA I50 HX001240HSRD VA IK2 HX000860
6 · The paper itself

Abstract

objectiveTo measure how much of the postdischarge cost and utilization attributable to methicillin-resistant Staphylococcus aureus (MRSA) health care-associated infections (HAIs) occur within the US Department of Veterans Affairs (VA) system and how much occurs outside. DATA SOURCES/STUDY

settingHealth care encounters from 3 different settings and payment models: (1) within the VA; (2) outside the VA but paid for by the VA (purchased care); and (3) outside the VA and paid for by Medicare. STUDY

designHistorical cohort study using data from admissions to VA hospitals between 2007 and 2012.

methodsWe assessed the impact of a positive MRSA test result on costs and utilization during the 365 days following discharge using inverse probability of treatment weights to balance covariates. PRINCIPAL

findingsAmong a cohort of 152,687 hospitalized Veterans, a positive MRSA test result was associated with an overall increase of 6.6 (95 percent CI: 5.7-7.5) inpatient days and $9,237 (95 percent CI: $8,211-$10,262) during the postdischarge period. VA inpatient admissions, Medicare reimbursements, and purchased care payments accounted for 60.6 percent, 22.5 percent, and 16.9 percent of these inpatient costs.

conclusionsWhile most of the excess postdischarge health care costs associated with MRSA HAIs occurred in the VA, non-VA costs make up an important subset of the overall burden.

Indexed as

Methicillin-Resistant Staphylococcus aureusAgedAged, 80 and overCohort StudiesCross InfectionFemaleHealth ExpendituresHealth ResourcesHumansMaleMedicareMiddle AgedPatient Acceptance of Health CarePatient DischargeSocioeconomic FactorsStaphylococcal Infectionshealthcare-associated infectionhealthcare utilization and costMRSA

Identifiers

PMID30298924
PMCPMC6235818
OpenAlexW2897914260

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.