Evidence map›Paper›PMID 34836508›Full record

ArticleBMC infectious diseases2021

Culture positivity may correlate with long-term mortality in critically ill patients.

Wei-Fan Ou, Li-Ting Wong, Chieh-Liang Wu, Wen-Cheng Chao

Abstract 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Wei-Fan OuDivision of Chest Medicine, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Li-Ting WongDepartment of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Chieh-Liang WuDepartment of Critical Care Medicine, Taichung Veterans General Hospital, No, 1650, Section 4, Taiwan Boulevard, Xitun District, Taichung, 40705, Taiwan.
Wen-Cheng ChaoDepartment of Critical Care Medicine, Taichung Veterans General Hospital, No, 1650, Section 4, Taiwan Boulevard, Xitun District, Taichung, 40705, Taiwan. cwc081@hotmail.com.

Funding

Ministry of Science and Technology Taiwan MOST 109-2321-B-075A-001Veterans General Hospitals and the University System of Taiwan Joint Research Program VGHUST110-G2-1-2
6 · The paper itself

Abstract

backgroundThe long-term outcome is currently a crucial issue in critical care, and we aim to address the association between culture positivity and long-term mortality in critically ill patients.

methodsWe used the 2015-2019 critical care database at Taichung Veterans General Hospital and Taiwanese nationwide death registration files. Multivariable Cox proportional hazards regression model was conducted to determine hazard ratio (HR) and 95% confidence interval (CI).

resultsWe enrolled 4488 critically ill patients, and the overall mortality was 55.2%. The follow-up duration among survivors was 2.2 ± 1.3 years. We found that 52.6% (2362/4488) of critically ill patients had at least one positive culture during the admission, and the number of patients with positive culture in the blood, respiratory tract and urinary tract were 593, 1831 and 831, respectively. We identified that a positive culture from blood (aHR 1.233; 95% CI 1.104-1.378), respiratory tract (aHR 1.217; 95% CI 1.109-1.364) and urinary tract (aHR 1.230; 95% CI 1.109-1.364) correlated with an increased risk of long-term mortality after adjusting relevant covariates.

conclusionsThrough linking two databases, we found that positive culture in the blood, respiratory tract and urinary tract during admission correlated with increased long-term overall mortality in critically ill patients.

Indexed as

Critical IllnessIntensive Care UnitsCritical CareHospital MortalityHumansProportional Hazards ModelsRetrospective StudiesRisk FactorsCritical illnessCulture positivityLong-term outcomeSurvival analysis

Identifiers

PMID34836508
PMCPMC8620521

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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.