Evidence map›Paper›PMID 38948384›Full record

ArticleJournal of pediatrics. Clinical practice2024

Association of Shift-Level Organizational Factors with Nosocomial Infection in the Neonatal Intensive Care Unit.

Marissa Fazio, Elias Jabbour, Sharina Patel, Valérie Bertelle, Anie Lapointe, Guy Lacroix, Sophie Gravel, Michèle Cabot, Bruno Piedboeuf, Marc Beltempo and 1 more

Abstract read
In one paragraph

Article in Journal of pediatrics. Clinical practice, 2024. 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
–field-weighted citation impact
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. Article
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

11 authors.

Marissa FazioMcGill University, Montréal, QC, Canada.
Elias JabbourMcGill University, Montréal, QC, Canada.
Sharina PatelMcGill University, Montréal, QC, Canada.
Valérie BertelleUniversité de Sherbrooke, Sherbrooke, QC, Canada.
Anie LapointeUniversité de Montréal, Montréal, QC, Canada.
Guy LacroixUniversité Laval, Quebec, QC, Canada.
Sophie GravelCHU Sainte-Justine, Montréal, QC, Canada.
Michèle CabotCHU de Québec, Québec, QC, Canada.
Bruno PiedboeufUniversité Laval, Quebec, QC, Canada.
Marc BeltempoMcGill University, Montréal, QC, Canada.
Quebec investigators of the Canadian Neonatal Network (CNN)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the association between shift-level organizational data (unit occupancy, nursing overtime ratios [OTRs], and nursing provision ratios [NPRs]) with nosocomial infection (NI) among infants born very preterm in the neonatal intensive care unit (NICU). Study design: This was a multicenter, retrospective cohort study, including 1921 infants 23 Results: Rate of NI was 11.5% (220/1921). Overall, median occupancy was 88.7% [IQR 81.0-94.6], OTR 4.4% [IQR 1.5-7.6], and NPR 101.1% [IQR 85.5-125.1]. A greater 3-day mean OTR was associated with greater odds of NI (aOR 1.08, 95% CI 1.02-1.15), a greater 3-day mean NPR was associated lower odds of NI (aOR 0.96, 95% CI 0.95-0.98), and occupancy was not associated with NI (aOR, 0.99, 95% CI 0.96-1.02). These findings were consistent across multiple sensitivity analyses. Conclusions: Nursing overtime and nursing provision are associated with the adjusted odds of NI among infants born very preterm in the NICU. Further interventional research is needed to infer causality.

Indexed as

health personnelinfectionspremature infant

Identifiers

PMID38948384
PMCPMC11214522

What OpenQuestion holds

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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.