Evidence map›Paper›PMID 38174137›Full record

ArticleTopics in spinal cord injury rehabilitation2023

Identifying Patterns of Primary Care Antibiotic Prescribing for a Spinal Cord Injury (SCI) Cohort Using an Electronic Medical Records (EMR) Database.

Arrani Senthinathan, Melanie Penner, Karen Tu, Andrew M Morris, B Catharine Craven, Zhiyin Li, Jun Guan, Susan B Jaglal

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Topics in spinal cord injury rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 4 institutions in 1 country.

Arrani SenthinathanInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Melanie PennerBloorview Research Institute / Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Karen TuDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Andrew M MorrisAntimicrobial Stewardship Program, University Health Network, Toronto, ON, Canada.
B Catharine CravenKITE (Knowledge Innovation Talent Everywhere), Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
Zhiyin LiICES, Toronto, ON, Canada.
Jun GuanICES, Toronto, ON, Canada.
Susan B JaglalInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.
University Health Network · CAUniversity of Toronto · CAHolland Bloorview Kids Rehabilitation Hospital · CAToronto Rehabilitation Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Individuals with a spinal cord injury (SCI) are considered higher users of antibiotics. However, to date there have been no detailed studies investigating outpatient antibiotic use in this population. Objectives: (1) To describe primary care antibiotic prescribing patterns in adults with SCI rostered to a primary care physician (PCP), and (2) to identify patient or PCP factors associated with number of antibiotics prescribed and antibiotic prescription duration. Methods: A retrospective cohort study using linked health administrative and electronic medical records (EMR) databases from January 1, 2013 to December 31, 2015 among 432 adults with SCI in Ontario, Canada. Negative binomial regression analyses were conducted to identify patient or physician factors associated with number of antibiotics prescribed and prescription duration. Results: During the study period, 61.1% of the SCI cohort received an antibiotic prescription from their PCP. There were 59.8% of prescriptions for urinary tract infections (UTI) and 24.6% of prescriptions for fluoroquinolones. Regression analysis found catheter use was associated with increased number of antibiotics prescribed (relative risk [RR] = 3.1; 95% CI, 2.3-4.1; Conclusion: UTIs were the number one prescription indication, and fluoroquinolones were the most prescribed antibiotic. Catheter use was associated with number of antibiotics, and PCP's years of practice was associated with duration. The study provided important information about primary care antibiotic prescribing in the SCI population and found that not all individuals received frequent antibiotics prescriptions.

Indexed as

Spinal Cord InjuriesUrinary Tract InfectionsAdultAnti-Bacterial AgentsElectronic Health RecordsFluoroquinolonesHumansOntarioPractice Patterns, Physicians'Primary Health CareRetrospective StudiesAnti-Bacterial AgentsFluoroquinolonesantibacterial agentsantimicrobial stewardshipprimary health carespinal cord diseasesspinal cord injuries

Identifiers

PMID38174137
PMCPMC10759849
OpenAlexW4388706071

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.