Evidence map›Paper›PMID 31100094›Full record

Trial reportPloS one2019

Estimating extra length of stay due to healthcare-associated infections before and after implementation of a hospital-wide infection control program.

Habibollah Arefian, Stefan Hagel, Dagmar Fischer, André Scherag, Frank Martin Brunkhorst, Jens Maschmann, Michael Hartmann

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Incidence of Urinary Tract Infection Among Patients: Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
  2. Global Incidence of Surgical Site Infection Among Patients: Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
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  12. Differences in hospital length of stay and total hospital charge by income level in patients hospitalized for hip fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
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  15. Avoiding ventilator-associated pneumonia: Curcumin-functionalized endotracheal tube and photodynamic action.Proceedings of the National Academy of Sciences of the United States of America · 2020
    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

7 authors at 2 institutions in 1 country.

Habibollah ArefianCenter for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.ORCID 0000-0002-8838-084X
Stefan HagelCenter for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.
Dagmar FischerDepartment of Pharmaceutical Technology and Biopharmacy, Friedrich-Schiller University Jena, Jena, Germany.
André ScheragCenter for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.
Frank Martin BrunkhorstCenter for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.
Jens MaschmannJena University Hospital, Jena, Germany.
Michael HartmannCenter for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.
Jena University Hospital · DEFriedrich Schiller University Jena · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealthcare-associated infections (HAIs) are a major health concern and have substantial effects on morbidity and mortality and increase healthcare costs. We investigated the effect of a hospital-wide program for the prevention of HAIs on additional length of stay (LOS).

methodsWe analyzed data from a prospective, single-center, quasi-experimental study with two surveillance periods before and after implementation of an infection prevention intervention program. HAI diagnosis was made according to surveillance definition criteria established by the US Centers for Disease Control and Prevention. A multistate model was used to estimate additional LOS for patients with HAI in both surveillance periods.

resultsDuring the first and second periods, 1,568 and 2,336 HAIs were identified among 26,943 and 35,211 patients, respectively. For HAI patients exclusively treated in a general ward, additional LOS was 8.4 (95% confidence interval, CI: 6.8-10.0) days in the first period and 9.6 (95% CI: 8.3-11.0) days in the second period (p = 0.26). For HAI patients treated in both an intensive care unit (ICU) and a general ward, additional LOS was 8.1 (95% CI: 6.3-9.9) days in the first period to 7.3 (95% CI: 6.1-8.5) days in the second period (p = 0.47).

conclusionsHealthcare-associated infections prolong LOS. A hospital-wide infection control program did not alter the prolongation of LOS.

Indexed as

Health Plan ImplementationAgedCross InfectionFemaleGermanyHospitalsHumansInfection ControlIntensive Care UnitsLength of StayMaleMiddle AgedNon-Randomized Controlled Trials as TopicProspective Studies

Identifiers

PMID31100094
PMCPMC6524816
OpenAlexW2946132400

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.