Evidence map›Paper›PMID 37113779›Full record

ArticleHeliyon2023

A single centre experience of prosthetic joint infection outcomes with outpatient parenteral antimicrobial therapy.

Abdubadie Kutubi, Luke O'Brien, Ben Murphy, Patricia Fitzpatrick, Conor Hurson, Deepa Rajendran, Eoin Feeney, Patrick Mallon, Sarmad Waqas

Open access · goldAbstract read
In one paragraph

Article in Heliyon, 2023. 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
2.2field-weighted citation impact, top 13% 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, 7 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

9 authors at 2 institutions in 1 country.

Abdubadie KutubiSt. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Luke O'BrienSt. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Ben MurphySt. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Patricia FitzpatrickSt. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Conor HursonSt. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Deepa RajendranSt. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Eoin FeeneySt. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Patrick MallonSt. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Sarmad WaqasSt. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
St. Vincent's University Hospital · IEUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Prosthetic joint infection (PJI) is a serious complication following arthroplasties. This study assessed the clinical outcomes, readmission rates and financial impact of PJIs treated with outpatient parenteral antimicrobial therapy (OPAT). Methods: The study used prospectively collected data from the OPAT patient database at a tertiary care Irish hospital for PJI cases managed between 2015 and 2020. Data was analyzed using IBM-SPSS. Results: Forty-one patients with PJIs were managed via OPAT over five years, with median age of 71.6 years. Median duration of OPAT was 32 days. Hospital readmission occurred in 34% of cases. Reasons for readmission included progression of infection in 64.3%, unplanned reoperation in 21.4% and planned admission for joint revision in 14.3%. Type 2 Diabetes Mellitus (T2DM) was found to have a statistically significant association with unplanned readmission (OR 8.5, CI 95% 1.1-67.6; p < 0.01). OPAT saved a mean of 27.49 hospital-bed days per patient. 1,127 bed days were saved in total, estimating a total savings of 963,585 euros and median savings of 26,505 euros. Conclusions: The readmission rate observed was comparable to international data. Most readmissions were related to primary infections rather than due to OPAT-specific complications. Our main findings were that patients with PJIs can be safely managed via OPAT, and the finding of association between T2DM and increased risk of readmission.

Indexed as

ArthroplastyDiabetesOutpatient parenteral antimicrobial therapyProsthetic joint infectionsReadmission predictors

Identifiers

PMID37113779
PMCPMC10126847
OpenAlexW4364376811

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.