The Experts below are selected from a list of 36 Experts worldwide ranked by ideXlab platform
Dorothea K Thompson - One of the best experts on this subject based on the ideXlab platform.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital possible interaction with length of hospitalization
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS <5 days, association with sepsis diagnosis was only significant for Indwelling Medical Device use preadmission (OR=9.61; 95% CI=3.68-25.08; P < .0001). CONCLUSIONS: Indwelling Medical Device use was significantly associated with increased risk of sepsis diagnosis and the risk was higher with longer hospitalization.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital: Possible interaction with length of hospitalization.
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS
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Risk factors for sepsis morbidity in a rural hospital population: A case-control study
American Journal of Infection Control, 2018Co-Authors: Peter Ahiawodzi, Kimberly Kelly, Alyssa Massengill, Dorothea K ThompsonAbstract:Background The aim of the study was to identify risk factors for sepsis morbidity in a rural hospital population. Methods We used a case-control study design. Patients included adult admissions to a rural health system between January 1, 2012, and December 31, 2015. Case selection was by electronic Medical record search for codes of the ICD-9-CM. Cases were validated against Quick Sequential Organ Failure Assessment criteria. Multiple logistic regression modeling was performed to determine which predefined variables were significantly associated with sepsis diagnosis. Results A total of 220 patients were studied (110 cases and 110 controls). Cases had an in-hospital mortality of 20% compared with 0% of the controls. Indwelling Medical Device use during hospitalization (adjusted odds ratio [OR], 3.02; 95% confidence interval [CI], 1.44-6.30; P = .003), coronary heart disease (adjusted OR, 2.59; 95% CI, 1.13-5.97; P = .03), and type of health insurance (adjusted OR, 2.36; 95% CI, 1.13-4.93; P = .02) were independently associated with sepsis diagnosis after adjusting for potential confounders. Conclusions This study underscores the need for implementation and maintenance of infection control measures during management of patients with Indwelling Medical Devices at a rural hospital.
Peter Ahiawodzi - One of the best experts on this subject based on the ideXlab platform.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital possible interaction with length of hospitalization
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS <5 days, association with sepsis diagnosis was only significant for Indwelling Medical Device use preadmission (OR=9.61; 95% CI=3.68-25.08; P < .0001). CONCLUSIONS: Indwelling Medical Device use was significantly associated with increased risk of sepsis diagnosis and the risk was higher with longer hospitalization.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital: Possible interaction with length of hospitalization.
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS
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Risk factors for sepsis morbidity in a rural hospital population: A case-control study
American Journal of Infection Control, 2018Co-Authors: Peter Ahiawodzi, Kimberly Kelly, Alyssa Massengill, Dorothea K ThompsonAbstract:Background The aim of the study was to identify risk factors for sepsis morbidity in a rural hospital population. Methods We used a case-control study design. Patients included adult admissions to a rural health system between January 1, 2012, and December 31, 2015. Case selection was by electronic Medical record search for codes of the ICD-9-CM. Cases were validated against Quick Sequential Organ Failure Assessment criteria. Multiple logistic regression modeling was performed to determine which predefined variables were significantly associated with sepsis diagnosis. Results A total of 220 patients were studied (110 cases and 110 controls). Cases had an in-hospital mortality of 20% compared with 0% of the controls. Indwelling Medical Device use during hospitalization (adjusted odds ratio [OR], 3.02; 95% confidence interval [CI], 1.44-6.30; P = .003), coronary heart disease (adjusted OR, 2.59; 95% CI, 1.13-5.97; P = .03), and type of health insurance (adjusted OR, 2.36; 95% CI, 1.13-4.93; P = .02) were independently associated with sepsis diagnosis after adjusting for potential confounders. Conclusions This study underscores the need for implementation and maintenance of infection control measures during management of patients with Indwelling Medical Devices at a rural hospital.
Kimberly Kelly - One of the best experts on this subject based on the ideXlab platform.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital possible interaction with length of hospitalization
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS <5 days, association with sepsis diagnosis was only significant for Indwelling Medical Device use preadmission (OR=9.61; 95% CI=3.68-25.08; P < .0001). CONCLUSIONS: Indwelling Medical Device use was significantly associated with increased risk of sepsis diagnosis and the risk was higher with longer hospitalization.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital: Possible interaction with length of hospitalization.
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS
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Risk factors for sepsis morbidity in a rural hospital population: A case-control study
American Journal of Infection Control, 2018Co-Authors: Peter Ahiawodzi, Kimberly Kelly, Alyssa Massengill, Dorothea K ThompsonAbstract:Background The aim of the study was to identify risk factors for sepsis morbidity in a rural hospital population. Methods We used a case-control study design. Patients included adult admissions to a rural health system between January 1, 2012, and December 31, 2015. Case selection was by electronic Medical record search for codes of the ICD-9-CM. Cases were validated against Quick Sequential Organ Failure Assessment criteria. Multiple logistic regression modeling was performed to determine which predefined variables were significantly associated with sepsis diagnosis. Results A total of 220 patients were studied (110 cases and 110 controls). Cases had an in-hospital mortality of 20% compared with 0% of the controls. Indwelling Medical Device use during hospitalization (adjusted odds ratio [OR], 3.02; 95% confidence interval [CI], 1.44-6.30; P = .003), coronary heart disease (adjusted OR, 2.59; 95% CI, 1.13-5.97; P = .03), and type of health insurance (adjusted OR, 2.36; 95% CI, 1.13-4.93; P = .02) were independently associated with sepsis diagnosis after adjusting for potential confounders. Conclusions This study underscores the need for implementation and maintenance of infection control measures during management of patients with Indwelling Medical Devices at a rural hospital.
Ikenna Okafor - One of the best experts on this subject based on the ideXlab platform.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital possible interaction with length of hospitalization
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS <5 days, association with sepsis diagnosis was only significant for Indwelling Medical Device use preadmission (OR=9.61; 95% CI=3.68-25.08; P < .0001). CONCLUSIONS: Indwelling Medical Device use was significantly associated with increased risk of sepsis diagnosis and the risk was higher with longer hospitalization.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital: Possible interaction with length of hospitalization.
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS
Sarah Chandler - One of the best experts on this subject based on the ideXlab platform.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital possible interaction with length of hospitalization
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS <5 days, association with sepsis diagnosis was only significant for Indwelling Medical Device use preadmission (OR=9.61; 95% CI=3.68-25.08; P < .0001). CONCLUSIONS: Indwelling Medical Device use was significantly associated with increased risk of sepsis diagnosis and the risk was higher with longer hospitalization.
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Indwelling Medical Device use and sepsis risk at a health professional shortage area hospital: Possible interaction with length of hospitalization.
American Journal of Infection Control, 2020Co-Authors: Peter Ahiawodzi, Ikenna Okafor, Sarah Chandler, Kimberly Kelly, Dorothea K ThompsonAbstract:BACKGROUND: We aimed to identify risk factors for sepsis diagnosis and possible interaction with length of hospital stay (LOS) among inpatients at a rural Health Professional Shortage Area hospital. METHODS: This case-control study examined 600 adult patients (300 cases and 300 controls) admitted to a rural health system in North Carolina between 2012 and 2018. Case selection was based on assignment of ICD-9-CM diagnostic codes for sepsis. Controls were patients with a Medical diagnosis other than sepsis during the observational period. Logistic regression was used to model sepsis diagnosis as a function of Indwelling Medical Device use and stratified by LOS. RESULTS: Indwelling Medical Device use preadmission and postadmission were significantly associated with increased risk of sepsis diagnosis among patients with extended hospital stays (LOS >/= 5 days) (odds ratio [OR]=5.51; 95% confidence interval [CI]=1.95-15.62; P=.001 and OR=3.28; 95% CI=1.24-8.68; P=.017, respectively). Among patients with LOS