Evidence map›Paper›PMID 31047954›Full record

ArticleChest2019

Infectious Disease Hospitalizations: United States, 2001 to 2014.

Jordan L Kennedy, Dana L Haberling, Chaorui C Huang, Fernanda C Lessa, David E Lucero, Demetre C Daskalakis, Neil M Vora

Open access · greenAbstract read
In one paragraph

Article in Chest, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 57 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Jordan L KennedyDivision of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: kua9@cdc.gov.
Dana L HaberlingDivision of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA.
Chaorui C HuangNew York City Department of Health and Mental Hygiene, New York, NY.
Fernanda C LessaDivision of Bacterial Diseases, Centers for Disease Control and Prevention, Atlanta, GA.
David E LuceroNew York City Department of Health and Mental Hygiene, New York, NY.
Demetre C DaskalakisNew York City Department of Health and Mental Hygiene, New York, NY.
Neil M VoraNew York City Department of Health and Mental Hygiene, New York, NY; Career Epidemiology Field Officer Program, Centers for Disease Control and Prevention, New York, NY.
New York City Department of Health and Mental Hygiene · USCenters for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundInfectious disease epidemiology has changed over time, reflecting improved clinical interventions and emergence of threats such as antimicrobial resistance. This study investigated infectious disease hospitalizations in the United States from 2001 to 2014.

methodsEstimated rates of infectious disease hospitalizations were calculated by using the National (Nationwide) Inpatient Sample. Infectious disease hospitalizations were defined as hospitalizations with a principal discharge diagnosis of an infectious disease. Diagnoses according to site of infection and sepsis were examined, as was occurrence of in-hospital death. The leading nonsepsis infectious disease secondary diagnoses for hospitalizations with a principal diagnosis of sepsis were identified.

resultsThe mean annual age-adjusted infectious disease hospitalization rate was 1,468.2 (95% CI, 1,459.9-1,476.4) per 100,000 population; in-hospital death occurred in 4.22% (95% CI, 4.18-4.25) of infectious disease hospitalizations. The mean annual age-adjusted infectious disease hospitalization rate increased from 2001-2003 to 2012-2014 (rate ratio, 1.05; 95% CI, 1.01-1.09), as did the percentage of in-hospital death (4.21% [95% CI, 4.13-4.29] to 4.30% [95% CI, 4.26-4.35]; P = .049). The diagnoses with the highest hospitalization rates among all sites of infection and sepsis diagnoses were the lower respiratory tract followed by sepsis. The most common nonsepsis infectious disease secondary diagnoses among sepsis hospitalizations were "urinary tract infection," "pneumonia, organism unspecified," and "intestinal infection due to Clostridium [Clostridioides] difficile."

conclusionsAlthough hospital discharge data are subject to limitations, particularly for tracking sepsis, lower respiratory tract infections and sepsis seem to be important contributors to infectious disease hospitalizations. Prevention of infections that lead to sepsis and improvements in sepsis management would decrease the burden of infectious disease hospitalizations and improve outcomes, respectively.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolCommunicable DiseasesFemaleHospitalizationHumansInfantInfant, NewbornMaleMiddle AgedRetrospective StudiesUnited Statesepidemiologyhospitalizationsinfectious diseaseUnited States

Identifiers

PMID31047954
PMCPMC6696939
OpenAlexW2942895472

What OpenQuestion holds

Textmetadata
LicenceTDM
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.