Evidence map›Paper›PMID 37370283›Full record

ArticleAntibiotics (Basel, Switzerland)2023

Carbapenem Use in the Last Days of Life: A Nationwide Korean Study.

Yu Mi Wi, Ki Tae Kwon, Cheon-Hoo Jeon, Si-Ho Kim, Soyoon Hwang, Sohyun Bae, Yoonjung Kim, Hyun-Ha Chang, Shin-Woo Kim, Hae Suk Cheong and 11 more

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2023. 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
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

21 authors at 12 institutions in 1 country.

Yu Mi WiDepartment of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of Korea.ORCID 0000-0003-3625-3328
Ki Tae KwonDivision of Infectious Diseases, Department of Internal Medicine, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu 41404, Republic of Korea.ORCID 0000-0003-4666-0672
Cheon-Hoo JeonDepartment of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of Korea.
Si-Ho KimDepartment of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of Korea.
Soyoon HwangDivision of Infectious Diseases, Department of Internal Medicine, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu 41404, Republic of Korea.
Sohyun BaeDivision of Infectious Diseases, Department of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
Yoonjung KimDivision of Infectious Diseases, Department of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
Hyun-Ha ChangDivision of Infectious Diseases, Department of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.ORCID 0000-0002-9405-2121
Shin-Woo KimDivision of Infectious Diseases, Department of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
Hae Suk CheongDivision of Infectious Diseases, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Republic of Korea.ORCID 0000-0001-8702-1987
Shinwon LeeDepartment of Internal Medicine, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital, Busan 50612, Republic of Korea.
Dong Sik JungDepartment of Internal Medicine, Dong-A University College of Medicine, Busan 49201, Republic of Korea.
Kyung Mok SohnDepartment of Internal Medicine, School of Medicine, Chungnam National University, Daejeon 35015, Republic of Korea.ORCID 0000-0002-3237-044X
Chisook MoonDivision of Infectious Diseases, Department of Internal Medicine, Inje University College of Medicine, Busan 47392, Republic of Korea.
Sang Taek HeoDivision of Infectious Diseases, Department of Internal Medicine, College of Medicine, Jeju National University, Jeju 63241, Republic of Korea.
Bongyoung KimDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul 04763, Republic of Korea.ORCID 0000-0002-5029-6597
Mi Suk LeeDivision of Infectious Diseases, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul 02447, Republic of Korea.
Jian HurDepartment of Internal Medicine, Yeungnam University Medical Center, Daegu 42415, Republic of Korea.
Jieun KimDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul 04763, Republic of Korea.ORCID 0000-0002-6214-3889
Young Kyung YoonDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul 02841, Republic of Korea.
Antimicrobial Stewardship Research Committee Of Korean Society For Antimicrobial Therapy
Kyungpook National University Hospital · KRSamsung (South Korea) · KRHanyang University · KRChungnam National University · KRDong-A University · KRInje University · KRJeju National University · KRKangbuk Samsung Hospital · KRKorea University · KRKyung Hee University · KRPusan National University Hospital · KRYeungnam University Medical Center · KR

Funding

Kyungpook National University Hospital 2019-09-008
6 · The paper itself

Abstract

The appropriate use of carbapenem is a critical concern for patient safety and public health, and is a national priority. We investigated the nationwide status of carbapenem prescription in patients within their last 14 days of life to guide judicious-use protocols from the previous study comprised of 1350 decedents. Carbapenem use was universally controlled through computerised authorisation system at all centres during the study period. Carbapenem prescribing patterns and their optimality were evaluated. A total of 1201 patients received antimicrobial agents within the last two weeks of their lives, of whom 533 (44.4%) received at least one carbapenem. The median carbapenem treatment duration was seven days. Of the 533 patients receiving carbapenems, 510 (95.7%) patients had microbiological samples drawn and 196 (36.8%) yielded carbapenem-resistant pathogens. A total of 200 (37.5%) patients were referred to infectious disease (ID) specialists. Of the 333 patients (62.5%) who did not have ID consultations, 194 (58.2%) were assessed as "not optimal", 79 (23.7%) required escalation, 100 (30.0%) required de-escalation, and 15 (4.5%) were discontinued. Notwithstanding the existing antibiotic restriction program system, carbapenems are commonly prescribed to patients in their last days of life.

Indexed as

antimicrobial stewardship programscarbapenemhandshake

Identifiers

PMID37370283
PMCPMC10294778
OpenAlexW4378567032

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.