Evidence map›Paper›PMID 33875439›Full record

ArticleAntimicrobial agents and chemotherapy2021

Characterizing Risk Factors for Clostridioides difficile Infection among Hospitalized Patients with Community-Acquired Pneumonia.

Nathaniel J Rhodes, Caroline C Jozefczyk, W Justin Moore, Paul R Yarnold, Karolina Harkabuz, Robert Maxwell, Sarah H Sutton, Christina Silkaitis, Chao Qi, Richard G Wunderink and 1 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 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
0.3field-weighted citation impact, top 40% 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. Article
  3. Review
  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

11 authors at 6 institutions in 1 country.

Nathaniel J RhodesDepartment of Pharmacy Practice, Chicago College of Pharmacy, Midwestern University, Downers Grove, Illinois, USA.
Caroline C Jozefczyk *Department of Pharmacy, Ohio Health, Mansfield, Ohio, USA.
W Justin Moore *Department of Pharmacy, Northwestern Memorial Hospital, Chicago, Illinois, USA.
Paul R Yarnold *Optimal Data Analysis, LLC, Chicago, Illinois, USA.
Karolina HarkabuzDepartment of Pharmacy Practice, Chicago College of Pharmacy, Midwestern University, Downers Grove, Illinois, USA.
Robert MaxwellDepartment of Pharmacy, Northwestern Memorial Hospital, Chicago, Illinois, USA.
Sarah H SuttonDivision of Infectious Diseases, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Christina SilkaitisHealthcare Epidemiology and Infection Prevention, Northwestern Medicine, Chicago, Illinois, USA.
Chao QiDepartment of Pathology, Northwestern Memorial Hospital, Chicago, Illinois, USA.
Richard G WunderinkDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Teresa R ZembowerDivision of Infectious Diseases, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Northwestern Memorial Hospital · USNorthwestern University · USMidwestern University · USNorthwestern Medicine · USOhioHealth Mansfield Hospital · USOptimal Solutions (United States) · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Technology CoreU19AI135964 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Benjamin David Singer · 2018 to 2026
$24.7M
HHS | NIH | National Center for Advancing Translational Sciences (NCATS) UL1TR001422NCATS NIH HHS UL1 TR001422NIAID NIH HHS U19 AI135964
6 · The paper itself

Abstract

Hospitalized patients with community-acquired pneumonia (CAP) are at risk of developing Clostridioides difficile infection (CDI). We developed and tested clinical decision rules for identifying CDI risk in this patient population. The study was a single-center retrospective, case-control analysis of hospitalized adult patients empirically treated for CAP between 1 January 2014 and 3 March 2018. Differences between cases (CDI diagnosed within 180 days following admission) and controls (no test result indicating CDI during the study period) with respect to prehospitalization variables were modeled to generate propensity scores. Postadmission variables were used to predict case status on each postadmission day where (i) ≥1 additional case was identified and (ii) each model stratum contained ≥15 subjects. Models were developed and tested using optimal discriminant analysis and classification tree analysis. Forty-four cases and 181 controls were included. The median time to diagnosis was 50 days postadmission. After weighting, three models were identified (20, 117, and 165 days postadmission). The day 20 model yielded the greatest (weighted [w]) accuracy (weighted area under the receiver operating characteristic curve [wROC area] = 0.826) and the highest chance-corrected accuracy (weighted effect strength for sensitivity [wESS] = 65.3). Having a positive culture (odds, 1:4;

Indexed as

Clostridium InfectionsPneumoniaAdultClostridioidesHumansRetrospective StudiesRisk Factorsantibiotic stewardshipClostridioides difficile infectioncommunity-acquired pneumonia

Identifiers

PMID33875439
PMCPMC8373232
OpenAlexW3154923927

What OpenQuestion holds

Textmetadata
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.