Evidence map›Paper›PMID 33750329›Full record

ArticleBMC infectious diseases2021

Clinical outcomes and healthcare costs of inpatients with tetanus in Korea, 2011-2019.

Sohyun Bae, Minsik Go, Yoonjung Kim, Soyoon Hwang, Shin-Woo Kim, Ki Tae Kwon, Sook-In Jung, Hyun-Ha Chang

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Tetanus: recognition and management.The Lancet. Infectious diseases · 2025
    Review
  3. List of occupational diseases among farmers in Korea: a literature review.Annals of occupational and environmental medicine · 2025
    Review
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  5. Article
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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

8 authors at 3 institutions in 1 country.

Sohyun BaeDivision of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu, 41944, South Korea.ORCID https://orcid.org/0000-0002-0206-7108
Minsik GoDepartment of Internal Medicine, Kyungpook National University Hospital, Daegu, South Korea.ORCID https://orcid.org/0000-0002-7951-4260
Yoonjung KimDivision of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu, 41944, South Korea.ORCID https://orcid.org/0000-0002-7454-4014
Soyoon HwangDivision of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu, 41944, South Korea.ORCID https://orcid.org/0000-0003-3618-174X
Shin-Woo KimDivision of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu, 41944, South Korea.ORCID https://orcid.org/0000-0002-3755-8249
Ki Tae KwonDivision of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu, 41944, South Korea.ORCID https://orcid.org/0000-0003-4666-0672
Sook-In Jung *Department of Infectious Diseases, Chonnam National University Medical School, 42 Jebongro, Donggu, Gwangju, 61469, South Korea. sijung@chonnam.ac.kr.ORCID https://orcid.org/0000-0002-1577-678X
Hyun-Ha Chang *Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu, 41944, South Korea. changhha@knu.ac.kr.ORCID http://orcid.org/0000-0002-9405-2121
Kyungpook National University · KRChonnam National University · KRKyungpook National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTetanus is a rare, vaccine-preventable but extremely serious disease. We investigated the recent trend of the clinical outcomes and medical costs for inpatients with tetanus in South Korea over 10 years.

methodsWe conducted a retrospective review to determine the clinical factors and medical costs associated with tetanus at two national university hospitals in South Korea between January 2011 and October 2019.

resultsForty-nine patients were admitted for tetanus (mean age, 67.0 years [range, 53.0-80.0 years]; 32 women [57.1%]). All the patients had generalized tetanus, and 5 (10.2%) died during hospitalization. The median duration from symptom onset to hospital admission was 4 days. Trismus (85.7%) was the most common symptom, and the median hospital stay was 39 days. Thirty-two patients (65.3%) required mechanical ventilation, and 20 (40.8%) developed aspiration pneumonia. The median total healthcare cost per patient was US $18,011. After discharge, 35 patients (71.4%) recovered sufficiently to walk without disability.

conclusionsTetanus requires long hospital stays and high medical expenditures in South Korea; however, the vaccination completion rate is low. Medical staff should therefore promote medical advice and policies on the management of tetanus to the general South Korean population.

Indexed as

Health Care CostsAgedAged, 80 and overFemaleHospitalizationHumansLength of StayMaleMiddle AgedPneumonia, AspirationRepublic of KoreaRespiration, ArtificialRetrospective StudiesTetanusTreatment OutcomeHealthcare costsTetanusTreatment outcome

Identifiers

PMID33750329
PMCPMC7940866
OpenAlexW3138499484

What OpenQuestion holds

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LicenceCC BY
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.