scholarly journals Outcome, diagnosis, and microbiological profile comparison of community‐ and hospital‐acquired bacteremia: A retrospective cohort study

2021 ◽  
Author(s):  
Takao Wakabayashi ◽  
Hiroyoshi Iwata
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Microbiological Profile ◽  
Hospital Acquired

scholarly journals Prediction Model for Hospital-Acquired Pressure Ulcer Development: Retrospective Cohort Study

10.2196/13785 ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. e13785 ◽  
Author(s):  
Sookyung Hyun ◽  
Susan Moffatt-Bruce ◽  
Cheryl Cooper ◽  
Brenda Hixon ◽  
Pacharmon Kaewprag
Keyword(s):  
Cohort Study ◽  
Prediction Model ◽  
Pressure Ulcer ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Pressure Ulcer Development ◽  
Hospital Acquired

scholarly journals Diagnosis and features of hospital-acquired pneumonia: a retrospective cohort study

2016 ◽  
Vol 92 (3) ◽  
pp. 273-279 ◽  
Author(s):  
C.D. Russell ◽  
O. Koch ◽  
I.F. Laurenson ◽  
D.T. O'Shea ◽  
R. Sutherland ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

Use of single-bed rooms may decrease the incidence of hospital-acquired infections in geriatric patients: A retrospective cohort study in Central Denmark region

2021 ◽  
pp. 135581962199486
Author(s):  
Merete Gregersen ◽  
Anders Mellemkjær ◽  
Catherine H Foss ◽  
Sif Blandfort
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
University Hospital ◽  
Electronic Patient Records ◽  
X Ray ◽  
Hospital Acquired Infections ◽  
Comorbidity Index ◽  
Discharge From Hospital ◽  
Hospital Acquired

Objective Patients accommodated in single-bed rooms may have a reduced risk of hospital-acquired infections (HAIs) compared to those in multi-bed rooms. This study aimed to examine the effect of single-bed accommodation on HAIs in older patients admitted to a geriatric ward. Methods A retrospective cohort study of patients admitted to geriatric wards in a university hospital in Central Denmark Region linked to a move to a newly built hospital, involving all consecutively admitted patients aged 65 years and over from 15 September to 19 December 2016 and a similar cohort admitted in the same three months in 2017. We compared the incidence of HAIs in patients in single-bed accommodation to those in multi-bed accommodation using retrospective review of electronic patient records, with all infections verified microbiologically or by X-ray with onset between 48 hours after admission to 48 hours after discharge from hospital. Results In total 446 patients were included. The incidence of HAIs in multi-bed accommodation was 30% compared to 20% in single-bed accommodation. The hazard ratio was 0.62 (95% Confidence Interval 0.43–0.91, p = 0.01) for single-bed accommodation. This finding remained robust after adjustment for age, sex, infection at admission, risk of sepsis, use of catheter, treatment with prednisone or methotrexate, and comorbidity index. Conclusion Accommodation in single-bed rooms appeared to reduce HAIs compared to multi-bed rooms in two geriatric wards. This finding should be considered as hypothesis-generating and be examined further using an experimental design.

scholarly journals Sex Differences in Hospital-Acquired Pneumonia among Patients with Type 2 Diabetes Mellitus Patients: Retrospective Cohort Study Using Hospital Discharge Data in Spain (2016–2019)

2021 ◽  
Vol 18 (23) ◽  
pp. 12645
Author(s):  
Ana Lopez-de-Andres ◽  
Marta Lopez-Herranz ◽  
Valentin Hernandez-Barrera ◽  
Javier de-Miguel-Diez ◽  
Jose M. de-Miguel-Yanes ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired ◽  
Over Time

(1) Background: To analyze the incidence, clinical characteristics, use of procedures, and in-hospital outcomes in patients who developed pneumonia during their hospital admission according to sex and to the presence of type 2 diabetes mellitus (T2DM). (2) Methods: Retrospective cohort study using data from the Spanish National Hospital Discharge Database. Hospital-acquired pneumonia (HAP) was classed as non-ventilator HAP and ventilator-associated pneumonia (VAP). Separate analyses were performed for men and women with and without T2DM. Population subgroups were compared using propensity score matching. (3) Results: HAP was identified in 38,814 patients (24.07% with T2DM). The adjusted incidence of HAP was higher in patients with T2DM (both sexes) (IRR 1.28; 95% CI 1.25–1.31). The incidence of HAP was higher in men with T2DM than in women with T2DM (adjusted-IR 1.47; 95% CI 1.41–1.53). The incidence of HAP among T2DM patients increased over time. In-hospital mortality (IHM) was around 28% irrespective of T2DM status and sex. After adjusting for confounders and sex, VAP was associated to higher IHM among patients with T2DM (OR 2.09; 95% CI 1.7–2.57). (4) Conclusions: T2DM is associated with a higher risk of HAP, whose incidence increased over time. Men with T2DM have an almost 50% higher risk of HAP than women with T2DM. The probability of dying in the hospital was not associated with sex or T2DM.

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