Evidence map›Paper›PMID 32652615›Full record

ArticleResearch in nursing & health2020

Risk factors for infection in home health care: Analysis of national Outcome and Assessment Information Set data.

Jingjing Shang, Jinjiao Wang, Victoria Adams, Chenjuan Ma

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Research in nursing & health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  14. LACE Score-Based Risk Management Tool for Long-Term Home Care Patients: A Proof-of-Concept Study in Taiwan.International journal of environmental research and public health · 2021
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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

4 authors at 4 institutions in 1 country.

Jingjing ShangSchool of Nursing, Columbia University, New York City, New York.ORCID 0000-0003-1815-5556
Jinjiao WangSchool of Nursing, University of Rochester, Rochester, New York.
Victoria AdamsInfection Prevention and Control, Visiting Nurse Service of New York, New York City, New York.
Chenjuan MaRory Meyers College of Nursing, New York University, New York City, New York.
Columbia University · USNew York University · USUniversity of Rochester · USVNS Health · US

Funding

Healthcare Associated Infections in Home Health CareR03NR013966 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING · 2013 to 2014
$159k
NINR NIH HHS R03 NR013966
6 · The paper itself

Abstract

Patients in home health care (HHC), a rapidly growing healthcare sector, are at high risk for infections. This study aimed to identify risk factors for infections among HHC patients using the Outcome and Assessment Information Set (OASIS) data. We used a 5% random sample of the 2013 national OASIS data. Infections were identified if records indicated that patients were hospitalized or received emergency care for one of three types of infections (respiratory, wound site, and urinary tract infection). Multivariate logistic regression models were used to identify risk factors for each individual infection type. The final analysis included 128,163 patients from 8,255 HHC agencies nationwide. Approximately 3.2% of the patients developed infections during their HHC stay that led to hospitalization or emergency care treatment. We found that associations between demographics and infection risk are specific to the type of infection. In general, a history of multiple hospitalizations in past 6 months, comorbidity, having a severe condition at HHC admission, and impaired physical functioning increased HHC patients' risk of infections. We also identified that HHC patients with caregivers who needed training in providing medical procedure or treatment are at higher risk for wound-site infections. Our findings suggest that patients with underlying medical conditions and limited physical function status are more likely to develop infection. The caregiver's lack of training in providing needed care at home also places HHC patients at high risk for infection. Education for patients and caregivers should be tailored based on their health literacy level to ensure complete understanding.

Indexed as

AgedAged, 80 and overEmergency Medical ServicesFemaleHome Care ServicesHospitalizationHumansIncidenceInfectionsLogistic ModelsMaleMiddle AgedRisk FactorsUnited Statescaregiverhome health careinfectionlong-term carerisk factors

Identifiers

PMID32652615
PMCPMC7418221
OpenAlexW3040792712

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.