ArticleAmerican journal of infection control2026
Role of the skilled nursing facility in Clostridioides difficile infection transitions of care: A retrospective cohort study of US hospitals.
Article in American journal of infection control, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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6 authors.
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Abstract
backgroundSkilled nursing facility (SNF) residents are at increased risk of Clostridioides difficile infection (CDI). The study describes the role of SNFs in CDI transitions of care among hospitalized patients in the United States.
methodsThis was a retrospective cohort study using the PINC AI Healthcare Database. Older adults (65+ years) were included if they had an index, nonrecurrent CDI hospitalization between July 2019 and December 2022. Patient and CDI characteristics, health outcomes (inpatient mortality, hospital length of stay, and readmissions), and hospital costs were compared between patients admitted from or discharged to a SNF.
resultsAmong 86,646 index CDI hospitalizations, only 5.1% of CDI patients were admitted from a SNF; however, 28.3% were discharged to a SNF. Patients admitted from SNFs more commonly experienced inpatient mortality (13.5% vs 8.2%), all-cause readmission (31.0% vs 28.0%), higher median hospital costs ($18,610 vs $15,270), and longer median hospital length of stay (8 vs 7 days) (P < .05 for all). Similar trends were noted for patients discharged to a SNF.
conclusionsOlder, hospitalized CDI patients originating from SNFs disproportionately experience poor health outcomes and financial burden. Over one-quarter of CDI patients were discharged to a SNF suggesting a need for higher levels of health care following CDI.
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