Evidence map›Paper›PMID 36865701›Full record

ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2023

Decreased hospital readmissions after programmatic strengthening of an outpatient parenteral antimicrobial therapy (OPAT) program.

Gaurav Agnihotri, Alan E Gross, Minji Seok, Cheng Yu Yen, Farah Khan, Laura M Ebbitt, Cassandra Gay, Susan C Bleasdale, Monica K Sikka, Andrew B Trotter

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Gaurav AgnihotriCollege of Medicine, University of Illinois at Chicago, Chicago, Illinois.ORCID https://orcid.org/0000-0003-2085-0814
Alan E GrossDepartment of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.ORCID https://orcid.org/0000-0001-9352-8389
Minji SeokCollege of Medicine, University of Illinois at Chicago, Chicago, Illinois.ORCID https://orcid.org/0000-0001-6646-6450
Cheng Yu YenDepartment of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.
Farah KhanDepartment of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.
Laura M EbbittCollege of Pharmacy, University of Kentucky, Lexington, Kentucky.
Cassandra GayDivision of Infectious Disease, Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois.
Susan C BleasdaleDivision of Infectious Disease, Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois.
Monica K SikkaDivision of Infectious Disease, Department of Medicine, Oregon Health & Science University, Portland, Oregon.ORCID https://orcid.org/0000-0001-8192-8019
Andrew B TrotterDivision of Infectious Disease, Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois.ORCID https://orcid.org/0000-0001-7069-2979
University of Illinois Chicago · USOregon Health & Science University · USUniversity of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine whether a structured OPAT program supervised by an infectious disease physician and led by an OPAT nurse decreased hospital readmission rates and OPAT-related complications and whether it affected clinical cure. We also evaluated predictors of readmission while receiving OPAT. Patients: A convenience sample of 428 patients admitted to a tertiary-care hospital in Chicago, Illinois, with infections requiring intravenous antibiotic therapy after hospital discharge. Methods: In this retrospective, quasi-experimental study, we compared patients discharged on intravenous antimicrobials from an OPAT program before and after implementation of a structured ID physician and nurse-led OPAT program. The preintervention group consisted of patients discharged on OPAT managed by individual physicians without central program oversight or nurse care coordination. All-cause and OPAT-related readmissions were compared using the χ Results: In total, 428 patients were included in the study. Unplanned OPAT-related hospital readmissions decreased significantly after implementation of the structured OPAT program (17.8% vs 7%; Conclusion: A structured ID physician and nurse-led OPAT program was associated with a decrease in OPAT-related readmissions and improved clinical cure.

Identifiers

PMID36865701
PMCPMC9972539
OpenAlexW4321461671

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.