Excess length of stay due to central line–associated bloodstream infection in intensive care units in Argentina, Brazil, and Mexico
Barnett, Adrian G., Graves, Nicholas, Rosenthal, Victor D., Salomao, Reinaldo, & Rangel‐Frausto, Manuel Sigfrido (2010) Excess length of stay due to central line–associated bloodstream infection in intensive care units in Argentina, Brazil, and Mexico. Infection Control and Hospital Epidemiology, 31(11), pp. 1106-1114.
Objective.To estimate the excess length of stay in an intensive care unit (ICU) due to a central line–associated bloodstream infection (CLABSI), using a multistate model that accounts for the timing of infection.
Design.A cohort of 3,560 patients followed up for 36,806 days in ICUs.
Setting.Eleven ICUs in 3 Latin American countries: Argentina, Brazil, and Mexico.
Patients.All patients admitted to the ICU during a defined time period with a central line in place for more than 24 hours.
Results.The average excess length of stay due to a CLABSI increased in 10 of 11 ICUs and varied from −1.23 days to 4.69 days. A reduction in length of stay in Mexico was probably caused by an increased risk of death due to CLABSI, leading to shorter times to death. Adjusting for patient age and Average Severity of Illness Score tended to increase the estimated excess length of stays due to CLABSI.
Conclusions.CLABSIs are associated with an excess length of ICU stay. The average excess length of stay varies between ICUs, most likely because of the case‐mix of admissions and differences in the ways that hospitals deal with infections.
Impact and interest:
Citation countsare sourced monthly fromand citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from theindexing service can be viewed at the linked Google Scholar™ search.
Full-text downloadsdisplays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.
|Item Type:||Journal Article|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Schools > School of Public Health & Social Work
|Copyright Owner:||Copyright 2010 University of Chicago Press|
|Deposited On:||23 Nov 2010 10:49|
|Last Modified:||01 Mar 2012 00:21|
Repository Staff Only: item control page