Evidence map›Paper›PMID 30949533›Full record

ArticleOpen forum infectious diseases2019

Incidence Rates and Risk Factors of

Emma E Ilett, Marie Helleberg, Joanne Reekie, Daniel D Murray, Signe M Wulff, Mark P Khurana, Amanda Mocroft, Gedske Daugaard, Michael Perch, Allan Rasmussen and 5 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Prevalence ofFrontiers in cellular and infection microbiology · 2022
    Pooled it
  2. Review
  3. Article
  4. Clinical microbiology reviews · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. Clinical burden of recurrentAntimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    Article
  9. Article
  10. Effectiveness of Bezlotoxumab for Prevention of RecurrentOpen forum infectious diseases · 2021
    Article
  11. 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

15 authors.

Emma E IlettPERSIMUNE Centre of Excellence, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-4450-0010
Marie HellebergPERSIMUNE Centre of Excellence, Rigshospitalet, Copenhagen, Denmark.
Joanne ReekiePERSIMUNE Centre of Excellence, Rigshospitalet, Copenhagen, Denmark.
Daniel D MurrayPERSIMUNE Centre of Excellence, Rigshospitalet, Copenhagen, Denmark.
Signe M WulffPERSIMUNE Centre of Excellence, Rigshospitalet, Copenhagen, Denmark.
Mark P KhuranaPERSIMUNE Centre of Excellence, Rigshospitalet, Copenhagen, Denmark.
Amanda MocroftCentre for Clinical Research, Epidemiology, Modelling and Evaluation (CREME), Institute for Global Health, University College London, London, UK.
Gedske DaugaardDepartment of Oncology, Rigshospitalet, Copenhagen, Denmark.
Michael PerchDepartment of Cardiology, Rigshospitalet, Copenhagen, Denmark.
Allan RasmussenDepartment of Surgical Gastroenterology, Rigshospitalet, Copenhagen, Denmark.
Søren S SørensenDepartment of Nephrology, Rigshospitalet, Copenhagen, Denmark.
Finn GustafssonDepartment of Cardiology, Rigshospitalet, Copenhagen, Denmark.
Niels Frimodt-MøllerDepartment of Microbiology, Rigshospitalet, Copenhagen, Denmark.
Henrik SengeløvDepartment of Haematology, Rigshospitalet, Copenhagen, Denmark.
Jens LundgrenPERSIMUNE Centre of Excellence, Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransplant recipients are an immunologically vulnerable patient group and are at elevated risk of

methodsAdults undergoing solid organ (SOT) and hematopoietic stem cell transplant (HSCT) from January 2010 to February 2017 at Rigshospitalet, University of Copenhagen, Denmark, were retrospectively included. Using nationwide data capture of all CDI cases, the incidence and risk factors of CDI were assessed.

resultsA total of 1687 patients underwent SOT or HSCT (1114 and 573, respectively), with a median follow-up time (interquartile range) of 1.95 (0.52-4.11) years. CDI was diagnosed in 15% (164) and 20% (114) of the SOT and HSCT recipients, respectively. CDI rates were highest in the 30 days post-transplant for both SOT and HSCT (adjusted incidence rate ratio [aIRR], 6.64; 95% confidence interval [CI], 4.37-10.10; and aIRR, 2.85; 95% CI, 1.83-4.43, respectively, compared with 31-180 days). For SOT recipients, pretransplant CDI and liver and lung transplant were associated with a higher risk of CDI in the first 30 days post-transplant, whereas age and liver transplant were risk factors in the later period. Among HSCT recipients, myeloablative conditioning and a higher Charlson Comorbidity Index were associated with a higher risk of CDI in the early period but not in the late period.

conclusionsUsing nationwide data, we show a high incidence of CDI among transplant recipients. Importantly, we also find that risk factors can vary relative to time post-transplant.

Indexed as

CDIClostridioides difficile infectionhematopoietic stem cell transplantationsolid organ transplantation

Identifiers

PMID30949533
PMCPMC6441586

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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.