Evidence map›Paper›PMID 36406163›Full record

ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2022

Assessment of risk factors associated with outpatient parenteral antimicrobial therapy (OPAT) complications: A retrospective cohort study.

Christina M Kaul, Matthew Haller, Jenny Yang, Sadie Solomon, Yaojie Wang, Rong Wu, Yu Meng, Robert A Pitts, Michael S Phillips

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  20. Outcomes among patients withAntimicrobial stewardship & healthcare epidemiology : ASHE · 2022
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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

9 authors at 2 institutions in 1 country.

Christina M KaulDivision of Infectious Diseases, NYU Grossman School of Medicine, New York, New York.ORCID https://orcid.org/0000-0002-1310-8737
Matthew HallerNYU Grossman School of Medicine, New York, New York.
Jenny YangDepartment of Internal Medicine, NYU Grossman School of Medicine, New York, New York.ORCID https://orcid.org/0000-0001-8635-0391
Sadie SolomonDepartment of Infection Control and Prevention, NYU Langone Health, New York, New York.ORCID https://orcid.org/0000-0001-8358-9225
Yaojie WangNYU School of Global Public Health, New York, New York.
Rong WuNYU School of Global Public Health, New York, New York.
Yu MengNYU School of Global Public Health, New York, New York.
Robert A PittsDivision of Infectious Diseases, NYU Grossman School of Medicine, New York, New York.
Michael S PhillipsDivision of Infectious Diseases, NYU Grossman School of Medicine, New York, New York.ORCID https://orcid.org/0000-0003-1040-9080
New York University · USNYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To characterize factors associated with increased risk of outpatient parenteral antimicrobial therapy (OPAT) complication. Design: Retrospective cohort study. Setting: Four hospitals within NYU Langone Health (NYULH). Patients: All patients aged ≥18 years with OPAT episodes who were admitted to an acute-care facility at NYULH between January 1, 2017, and December 31, 2020, who had an infectious diseases consultation during admission. Results: Overall, 8.45% of OPAT patients suffered a vascular complication and 6.04% suffered an antimicrobial complication. Among these patients, 19.95% had a 30-day readmission and 3.35% had OPAT-related readmission. Also, 1.58% of patients developed a catheter-related bloodstream infection (CRBSI). After adjusting for key confounders, we found that patients discharged to a subacute rehabilitation center (SARC) were more likely to develop a CRBSI (odds ratio [OR], 4.75; Conclusions: Discharge to an SARC is strongly associated with increased risks of readmission for OPAT-related complications and CRBSI. Loss to follow-up with the infectious diseases service is strongly associated with increased risk of readmission and CRBSI. CRBSI prevention during SARC admission is a critically needed public health intervention. Further work must be done for patients undergoing OPAT to improve their follow-up retention with the infectious diseases service.

Identifiers

PMID36406163
PMCPMC9672913
OpenAlexW4309661030

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.