Evidence map›Paper›PMID 33038385›Full record

ArticleThe Journal of infection2021

The use of automated data extraction tools to develop a solid organ transplant registry: Proof of concept study of bloodstream infections.

Ricardo M La Hoz, Terrence Liu, Donglu Xie, Beverley Adams-Huet, DuWayne L Willett, Robert W Haley, David E Greenberg

Open access · greenAbstract read
In one paragraph

Article in The Journal of infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Epidemiology and risk factors for varicella zoster virus reactivation in heart transplant recipients.Transplant infectious disease : an official journal of the Transplantation Society · 2021
    Article
  4. 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 1 institution in 1 country.

Ricardo M La HozDivision of Infectious Diseases and Geographic Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address: Ricardo.LaHoz@UTSouthwestern.edu.
Terrence LiuUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Donglu XieAcademic Information Systems - Information Resources, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Beverley Adams-HuetDivision of Biostatistics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
DuWayne L WillettDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Robert W HaleyDivision of Epidemiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
David E GreenbergDivision of Infectious Diseases and Geographic Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA; Department of Microbiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
The University of Texas Southwestern Medical Center · US

Funding

UT Southwestern Center for Translational Medicine (UL1/KL2/TL1KL2TR001103 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$4.0M
NCATS NIH HHS KL2 TR001103
6 · The paper itself

Abstract

backgroundWe created an electronic health record-based registry using automated data extraction tools to study the epidemiology of bloodstream infections (BSI) in solid organ transplant recipients. The overarching goal was to determine the usefulness of an electronic health record-based registry using data extraction tools for clinical research in solid organ transplantation.

methodsWe performed a retrospective single-center cohort study of adult solid organ transplant recipients from 2010 to 2015. Extraction tools were used to retrieve data from the electronic health record, which was integrated with national data sources. Electronic health records of subjects with positive blood cultures were manually adjudicated using consensus definitions. One-year cumulative incidence, risk factors for BSI acquisition, and 1-year mortality were analyzed by Kaplan-Meier method and Cox modeling, and 30-day mortality with logistic regression.

resultsIn 917 solid organ transplant recipients the cumulative incidence of BSI was 8.4% (95% confidence interval 6.8-10.4) with central line-associated BSI as the most common source. The proportion of multidrug-resistant isolates increased from 0% in 2010 to 47% in 2015 (p = 0.03). BSI was the strongest risk factor for 1-year mortality (HR=8.44; 4.99-14.27; p<0.001). In 11 of 14 deaths, BSI was the main cause or contributory in patients with non-rapidly fatal underlying conditions.

conclusionsOur study illustrates the usefulness of an electronic health record-based registry using automated extraction tools for clinical research in the field of solid organ transplantation. A BSI reduces the 1-year survival of solid organ transplant recipients. The most common sources of BSIs in our studies are preventable.

Indexed as

BacteremiaOrgan TransplantationSepsisAdultCohort StudiesHumansProof of Concept StudyRegistriesRetrospective StudiesRisk FactorsBloodstream infectionsElectronic databasesEpidemiologyInformaticsSolid organ transplant recipients

Identifiers

PMID33038385
PMCPMC8654599
OpenAlexW3092378026

What OpenQuestion holds

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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.