Evidence map›Paper›PMID 33784317›Full record

ArticlePloS one2021

Risk factors for 3-month mortality in bedridden patients with hospital-acquired pneumonia: A multicentre prospective study.

Jing Jiao, Zhen Li, Xinjuan Wu, Jing Cao, Ge Liu, Ying Liu, Fangfang Li, Chen Zhu, Baoyun Song, Jingfen Jin and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 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
1.6field-weighted citation impact, top 18% 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, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Physical Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  7. Differentiation BetweenInfection and drug resistance · 2022
    Article
  8. Article
  9. Article
  10. 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

14 authors at 5 institutions in 1 country.

Jing JiaoDepartment of Nursing, Peking Union Medical College Hospital, Beijing, China.
Zhen LiDepartment of Nursing, Peking Union Medical College Hospital, Beijing, China.ORCID 0000-0002-4052-199X
Xinjuan WuDepartment of Nursing, Peking Union Medical College Hospital, Beijing, China.
Jing CaoDepartment of Nursing, Peking Union Medical College Hospital, Beijing, China.
Ge LiuDepartment of Surgery, Peking Union Medical College Hospital, Beijing, China.
Ying LiuDepartment of Nursing, Peking Union Medical College Hospital, Beijing, China.
Fangfang LiDepartment of Medicine, Peking Union Medical College Hospital, Beijing, China.
Chen ZhuDepartment of Nursing, Peking Union Medical College Hospital, Beijing, China.
Baoyun SongDepartment of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan Province, China.
Jingfen JinDepartment of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Yilan LiuDepartment of Nursing, Wuhan Union Hospital, Wuhan, Hubei Province, China.
Xianxiu WenDepartment of Nursing, Sichuan Provincial People's Hospital, Chengdu, Sichuan Province, China.
Shouzhen ChengDepartment of Nursing, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong Province, China.
Xia WanInstitute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNFourth People's Hospital of Sichuan Province · CNHenan Provincial People's Hospital · CNSecond Affiliated Hospital of Zhejiang University · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMortality among patients with hospital-acquired pneumonia (HAP) is quite high; however, information on risk factors for short-term mortality in this population remains limited. The aim of the current study was to identify the risk factors for mortality in bedridden patients with HAP during a 3-month observation period.

methodsA secondary data analysis was conducted. In total, 1141 HAP cases from 25 hospitals were included in the analysis. Univariate and multilevel regression analyses were performed to identify the risk factors for mortality.

resultsDuring the 3-month observation period, there were 189 deaths among bedridden patients with HAP. The mortality rate in this study was 16.56%. Multilevel regression analysis showed that ventilator-associated pneumonia (OR = 2.034, 95%CI: 1.256, 3.296, p = 0.004), pressure injuries (OR = 2.202, 95%CI: 1.258, 3.852, p = 0.006), number of comorbidities (OR = 1.076, 95%CI: 1.016,1.140, p = 0.013) and adjusted Charlson Comorbidity Index score (OR = 1.210, 95%CI: 1.090, 1.343, p<0.001) were associated with an increased risk of mortality, while undergoing surgery with general anaesthesia (OR = 0.582, 95%CI: 0.368, 0.920, p = 0.021) was associated with a decreased risk of mortality.

conclusionsThe identification of risk factors associated with mortality is an important step towards individualizing care plans. Our findings may help healthcare workers select high-risk patients for specific interventions. Further study is needed to explore whether appropriate interventions against modifiable risk factors, such as reduced immobility complications or ventilator-associated pneumonia, could improve the prognoses.

Indexed as

Bedridden PersonsAgedAged, 80 and overComorbidityCross InfectionFemaleHealthcare-Associated PneumoniaHumansMaleMiddle AgedPneumoniaPneumonia, Ventilator-AssociatedProspective StudiesRisk Factors

Identifiers

PMID33784317
PMCPMC8009424
OpenAlexW3146659708

What OpenQuestion holds

Textmetadata
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.