Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

ID Specialty Intervention & Readmission Rates

Clin Infect Dis; ePub 2018 Jun 13; Schmitt, et al

Among privately insured patients aged <65 years and treated in a hospital, early intervention with an infectious disease (ID) physician was associated with lower mortality rate and shorter length of stay. Patients who received early ID intervention were also less likely to be readmitted after discharge. This according to a retrospective analysis of administrative claims data from community hospital and post-discharge ambulatory care. Patients were privately insured individuals aged <65 years with an acute-care stay in 2014 for selected infections. Key outcomes were mortality, length of index stay, readmission rate, mortality, and total cost of care over the first 30 days after discharge. Researchers found:

  • Patients managed with early ID involvement had shorter length of stay, lower spending, and lower mortality in the index stay vs those managed without ID involvement.
  • Early ID involvement was associated with shorter length of stay and lower costs, relative to late ID involvement.
  • Those with early ID intervention during hospitalization had fewer readmissions and lower healthcare payments after discharge.

Citation:

Schmitt S, MacIntyre AT, Bleasdale SC, et al. Early infectious diseases specialty intervention is associated with shorter hospital stays and lower readmission rates: A retrospective cohort study. [Published online ahead of print June 13, 2018]. Clin Infect Dis. doi:10.1093/cid/ciy494.

This Week's Must Reads

Disparities and Risk Factors for Septicemia Deaths , Open Forum Infect Dis; ePub 2018 Nov 15; Kempker, et al

Predicting Severe Outcomes in US Norovirus Outbreaks, J Infect Dis; ePub 2018 Nov 15; Burke, et al

RSV vs Influenza in Hospitalized Older Adults, Clin Infect Dis; ePub 2018 Nov 19; Ackerson, et al

Differences in HPV Seroprevalence By Sex, Clin Infect Dis; ePub 2018 Nov 24; Lewis, et al

Genital Wart Recurrence Among Unvaccinated Men, J Infect Dis; ePub 2018 Nov 2; Giuliano, et al

Must Reads in Healthcare-acquired Infections

Disparities and Risk Factors for Septicemia Deaths , Open Forum Infect Dis; ePub 2018 Nov 15; Kempker, et al

Predicting Severe Outcomes in US Norovirus Outbreaks, J Infect Dis; ePub 2018 Nov 15; Burke, et al

GI Microbiota Disruption with CRPA in ICU Patients, Clin Infect Dis; ePub 2018 Nov 1; Pettigrew, et al

Better Management of OPAT Can Reduce Readmissions, Clin Infect Dis; ePub 2018 Sep 21; Shah, et al

Low Plasma 25(OH)D and Risk of Sepsis, Open Forum Infect Dis; ePub 2018 Sep 18; Kempker, et al