Evidence map›Paper›PMID 35559131›Full record

ArticleOpen forum infectious diseases2021

Health Care Utilization Patterns for Patients With a History of Substance Use Requiring OPAT.

Bilal Ashraf, Emily Hoff, L Steven Brown, Jillian Smartt, Sheryl Mathew, Cylaina Bird, Ryan Collins, David Johnson, Kapila Marambage, Kavita Bhavan

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Outcomes of Partial Oral Antibiotic Treatment for Complicated Staphylococcus aureus Bacteremia in People Who Inject Drugs.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  7. 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

10 authors at 2 institutions in 1 country.

Bilal AshrafUT Southwestern Department of Internal Medicine and Pediatrics, Dallas, Texas, USA.
Emily HoffUT Southwestern Department of Internal Medicine, Dallas, Texas, USA.
L Steven BrownParkland Health and Hospital System, Dallas, Texas, USA.
Jillian SmarttParkland Health and Hospital System Center of Innovation and Value, Dallas, Texas, USA.
Sheryl MathewParkland Health and Hospital System Center of Innovation and Value, Dallas, Texas, USA.
Cylaina BirdUT Southwestern Department of Internal Medicine, Dallas, Texas, USA.
Ryan CollinsParkland Health and Hospital System, Dallas, Texas, USA.
David JohnsonUT Southwestern Department of Internal Medicine, Dallas, Texas, USA.
Kapila MarambageUT Southwestern Department of Psychiatry, Dallas, Texas, USA.
Kavita BhavanParkland Health and Hospital System Center of Innovation and Value, Dallas, Texas, USA.
Parkland Health & Hospital System · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Uninsured people who use drugs (PWUD) require extended parenteral antibiotic therapy when diagnosed with complex infections such as osteomyelitis. They are ineligible to enroll in our self-administered outpatient antimicrobial therapy (S-OPAT) program and instead sent to a skilled nursing facility (SNF). We aim to retrospectively assess clinical outcomes of PWUD discharged from our safety net hospital to complete OPAT in an SNF. Methods: Using our hospital electronic medical record, PWUD discharged to an SNF for extended antibiotic therapy were identified for the study period, 1/1/17-4/30/18. Demographics, drug use, discharge diagnosis, antibiotic therapy, discharge disposition from SNF (AMA, early non-AMA, completed), 30-day emergency department (ED) utilization, and 30-day readmission were collected for the study cohort. ED utilization and 30-day readmission rates were analyzed by disposition group. Results: While the majority of patients completed treatment (83), a sizeable number left AMA (26) or early non-AMA (20). Patients who left early, AMA or non-AMA, had increased rates of 30-day readmission or ED utilization ( Conclusions: In our cohort, many PWUD discharged to an SNF to receive parenteral antibiotics did not complete treatment. These patients were observed to have increased health care utilization compared with patients completing therapy.

Indexed as

drug useOPAT

Identifiers

PMID35559131
PMCPMC9088504
OpenAlexW3211755607

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.