Evidence map›Paper›PMID 33780567›Full record

Trial reportAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2021

Pathway with single-dose long-acting intravenous antibiotic reduces emergency department hospitalizations of patients with skin infections.

David A Talan, William R Mower, Frank A Lovecchio, Richard E Rothman, Mark T Steele, Katelyn Keyloun, Patrick Gillard, Ronald Copp, Gregory J Moran

Registry-linked trialOpen access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02961764 (A Pragmatic Trial Designed to Evaluate a New Critical Pathway for Treatment of Patients With Acute Bacterial Skin and Skin Structure Infections), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 27% 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.

NCT02961764 phase4completednot on this map

A Pragmatic Trial Designed to Evaluate a New Critical Pathway for Treatment of Patients With Acute Bacterial Skin and Skin Structure Infections

TypeinterventionalSponsorAllerganRan2016 to 2019Enrolled313ConditionsAcute Bacterial Skin and Skin Structure InfectionsArmsUsual Care, Dalbavancin
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Review
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

David A TalanRonald Reagan UCLA Medical Center, David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-7048-8086
William R MowerRonald Reagan UCLA Medical Center, David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, CA, USA.
Frank A LovecchioValleywise Health, ASU, University of Arizona and Creighton College of Medicine, Phoenix, Arizona, USA.
Richard E RothmanJohns Hopkins Medical Center, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Mark T SteeleTruman Medical Center, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri, USA.
Katelyn KeylounAbbVie Inc, Irvine, California, USA.
Patrick GillardAbbVie Inc, Irvine, California, USA.
Ronald CoppICON plc, Dublin, Ireland.
Gregory J MoranOlive View, UCLA Medical Center, David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, California, USA.
University of California, Los Angeles · USAbbVie (United States) · USJohns Hopkins University · USTruman Medical Center · USUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEmergency department (ED) patients with serious skin and soft tissue infections (SSTIs) are often hospitalized to receive intravenous (IV) antibiotics. Appropriate patients may avoid admission following a single-dose, long-acting IV antibiotic.

methodsWe conducted a preintervention versus postintervention design trial at 11 U.S. EDs comparing hospitalization rates under usual care to those using a clinical pathway that included a single IV dalbavancin dose. We enrolled adults with cellulitis, abscess, or wound infection with an infected area of ≥75 cm

resultsOf 156 and 153 participants in usual care and clinical pathway periods, median infection areas were 255.0 (interquartile range [IQR] = 150.0 to 500.0) cm

conclusionsImplementation of an ED SSTI clinical pathway for patient selection and follow-up that included use of a single-dose, long-acting IV antibiotic was associated with a significant reduction in hospitalization rate for stable patients with moderately severe infections. Registration: NCT02961764.

Indexed as

Skin Diseases, InfectiousSoft Tissue InfectionsAdultAnti-Bacterial AgentsEmergency Service, HospitalHospitalizationHumansAnti-Bacterial Agentsabscessantibacterial agentscellulitiscritical pathwaysdalbavancinemergency departmenthealth resourceshospitalhospitalizationinfectiousskin diseaseswound infection

Identifiers

PMID33780567
PMCPMC8597095
OpenAlexW3146152049

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.