Evidence map›Paper›PMID 32006691›Full record

SynthesisClinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases2020

Patient care experience with utilization of isolation precautions: systematic literature review and meta-analysis.

R Nair, E N Perencevich, M Goto, D J Livorsi, E Balkenende, E Kiscaden, M L Schweizer

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.9field-weighted citation impact, top 15% 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, 50 citations in OpenAlex.

  1. Article
  2. Methicillin-resistant Staphylococcus aureus.Nature reviews. Disease primers · 2026
    Review
  3. Article
  4. Review
  5. EnhancingJournal of fungi (Basel, Switzerland) · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Beyond the mask.Canadian medical education journal · 2021
    Article
  13. Demographics matter: the potentially disproportionate effect of COVID-19 on hospital ratings.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Article
  14. Article
  15. 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 3 institutions in 1 country.

R NairCenter for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, USA; Department of Internal Medicine, University of Iowa Carver College of Medicine, USA.
E N PerencevichCenter for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, USA; Department of Internal Medicine, University of Iowa Carver College of Medicine, USA.
M GotoCenter for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, USA; Department of Internal Medicine, University of Iowa Carver College of Medicine, USA.
D J LivorsiCenter for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, USA; Department of Internal Medicine, University of Iowa Carver College of Medicine, USA.
E BalkenendeCenter for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, USA; Department of Internal Medicine, University of Iowa Carver College of Medicine, USA.
E KiscadenHardin Library for Health Sciences, University of Iowa, Iowa City, IA, USA.
M L SchweizerCenter for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, USA; Department of Internal Medicine, University of Iowa Carver College of Medicine, USA. Electronic address: marin-schweizer@uiowa.edu.
Iowa City VA Health Care System · USUniversity of Iowa · USState Library of Iowa · US

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
PREVENTION EPICENTERS PROGRAMUR8CI715091 · CI · UNIVERSITY OF IOWA · PI HERWALDT, LOREEN A · 1998 to 2005
–
NCATS NIH HHS UL1 TR002537NCPDCID CDC HHS UR8 CI715091
6 · The paper itself

Abstract

backgroundUse of isolation precautions (IP) may represent a trade-off between reduced transmission of infectious pathogens and reduced patient satisfaction with their care.

objectiveTo perform a systematic literature review and meta-analysis to identify if and how IPs impact patients' care experiences. DATA SOURCES: Medline, ClinicalTrials.gov, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, PsychInfo, HSRProj and Cochrane Library databases. STUDY ELIGIBILITY CRITERIA: Interventional and observational studies published January 1990 to May 2019 were eligible for inclusion.

participantsPatients admitted to an acute-care facility.

interventionsIPs versus no IPs.

methodsSix reviewers screened titles, abstracts and full text. Experience of care reported by patients using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was assessed as the outcome for the meta-analysis. Pooled odds ratios were calculated using the random-effects model. Heterogeneity was assessed using the I

resultsAfter screening 7073 titles and abstracts, 15 independent studies were included in the review. Pooling of unadjusted estimates from the HCAHPS survey demonstrated that IP patients were less likely to give top scores on questions pertaining to respect, communication, receiving assistance and cleanliness compared to the no-IP patients. Patients under IP with longer length of stay appeared to have more negative experiences with the care received during their stay compared to no IP.

conclusionsPatients under IP were more likely to be dissatisfied with several aspects of patient care compared to patients not under IP. It is crucial to educate patients and healthcare workers in order to balance successful implementation of IP and patient care experiences, particularly in healthcare settings where it may be beneficial.

Indexed as

HospitalizationPatient CareCommunicable DiseasesHealth PersonnelHumansPatient IsolationPatient SatisfactionContact precautionsInfection controlMeta-analysisPatient experiencePatient satisfaction

Identifiers

PMID32006691
PMCPMC7253340
OpenAlexW3003353566

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.