Matches in SemOpenAlex for { <https://semopenalex.org/work/W2044983359> ?p ?o ?g. }
- W2044983359 endingPage "591" @default.
- W2044983359 startingPage "585" @default.
- W2044983359 abstract "Objective To describe patterns of diagnostic testing and antibiotic management of uncomplicated pneumonia in general community hospitals and children's hospitals within hospitals and to determine the association between diagnostic testing and length of hospital stay. Study design We conducted a retrospective cohort study of children 1-17 years of age hospitalized with the diagnosis of pneumonia from 2007 to 2010 to hospitals contributing data to Perspective Database Warehouse, assessing patterns of diagnostic testing and antibiotic management. We constructed logistic regression models of log-transformed length of stay (LOS) and grouped treatment models to ascertain whether performance of blood cultures and viral respiratory testing were associated with LOS. Results A total of 17 299 pneumonia cases occurred at 125 hospitals, with considerable variability in pneumonia management. Only 40 (0.2%) received ampicillin/penicillin G alone or in combination with other antibiotics, and 1318 (7.4%) received macrolide monotherapy as initial antibiotic management. Performance of blood culture and testing for respiratory viruses was associated with a statistically significant longer LOS, but these differences did not persist in grouped treatment models. Conclusions We observed greater rates of diagnostic testing in this cohort of structurally diverse hospitals than previously reported at freestanding children's hospitals, with extremely low rates of narrow-spectrum antibiotic use. Tailored antibiotic stewardship initiatives at these hospitals are needed to achieve adherence to national guideline recommendations. To describe patterns of diagnostic testing and antibiotic management of uncomplicated pneumonia in general community hospitals and children's hospitals within hospitals and to determine the association between diagnostic testing and length of hospital stay. We conducted a retrospective cohort study of children 1-17 years of age hospitalized with the diagnosis of pneumonia from 2007 to 2010 to hospitals contributing data to Perspective Database Warehouse, assessing patterns of diagnostic testing and antibiotic management. We constructed logistic regression models of log-transformed length of stay (LOS) and grouped treatment models to ascertain whether performance of blood cultures and viral respiratory testing were associated with LOS. A total of 17 299 pneumonia cases occurred at 125 hospitals, with considerable variability in pneumonia management. Only 40 (0.2%) received ampicillin/penicillin G alone or in combination with other antibiotics, and 1318 (7.4%) received macrolide monotherapy as initial antibiotic management. Performance of blood culture and testing for respiratory viruses was associated with a statistically significant longer LOS, but these differences did not persist in grouped treatment models. We observed greater rates of diagnostic testing in this cohort of structurally diverse hospitals than previously reported at freestanding children's hospitals, with extremely low rates of narrow-spectrum antibiotic use. Tailored antibiotic stewardship initiatives at these hospitals are needed to achieve adherence to national guideline recommendations." @default.
- W2044983359 created "2016-06-24" @default.
- W2044983359 creator A5034425520 @default.
- W2044983359 creator A5038316025 @default.
- W2044983359 creator A5043101709 @default.
- W2044983359 creator A5046578319 @default.
- W2044983359 creator A5049202803 @default.
- W2044983359 date "2014-09-01" @default.
- W2044983359 modified "2023-10-16" @default.
- W2044983359 title "Variation in Resource Utilization for the Management of Uncomplicated Community-Acquired Pneumonia across Community and Children's Hospitals" @default.
- W2044983359 cites W1975216096 @default.
- W2044983359 cites W1976532290 @default.
- W2044983359 cites W1981313494 @default.
- W2044983359 cites W1994307831 @default.
- W2044983359 cites W1999381003 @default.
- W2044983359 cites W2014126310 @default.
- W2044983359 cites W2030345823 @default.
- W2044983359 cites W2044598558 @default.
- W2044983359 cites W2064069356 @default.
- W2044983359 cites W2071326921 @default.
- W2044983359 cites W2079480061 @default.
- W2044983359 cites W2087593785 @default.
- W2044983359 cites W2106920616 @default.
- W2044983359 cites W2108292553 @default.
- W2044983359 cites W2110591623 @default.
- W2044983359 cites W2116581803 @default.
- W2044983359 cites W2128083676 @default.
- W2044983359 cites W2128625737 @default.
- W2044983359 cites W2129427821 @default.
- W2044983359 cites W2130692686 @default.
- W2044983359 cites W2130874036 @default.
- W2044983359 cites W2133979383 @default.
- W2044983359 cites W2149341562 @default.
- W2044983359 cites W2165516746 @default.
- W2044983359 cites W2168908910 @default.
- W2044983359 cites W2169897662 @default.
- W2044983359 doi "https://doi.org/10.1016/j.jpeds.2014.04.062" @default.
- W2044983359 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4158451" @default.
- W2044983359 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24973795" @default.
- W2044983359 hasPublicationYear "2014" @default.
- W2044983359 type Work @default.
- W2044983359 sameAs 2044983359 @default.
- W2044983359 citedByCount "34" @default.
- W2044983359 countsByYear W20449833592015 @default.
- W2044983359 countsByYear W20449833592016 @default.
- W2044983359 countsByYear W20449833592017 @default.
- W2044983359 countsByYear W20449833592018 @default.
- W2044983359 countsByYear W20449833592019 @default.
- W2044983359 countsByYear W20449833592020 @default.
- W2044983359 countsByYear W20449833592021 @default.
- W2044983359 countsByYear W20449833592022 @default.
- W2044983359 countsByYear W20449833592023 @default.
- W2044983359 crossrefType "journal-article" @default.
- W2044983359 hasAuthorship W2044983359A5034425520 @default.
- W2044983359 hasAuthorship W2044983359A5038316025 @default.
- W2044983359 hasAuthorship W2044983359A5043101709 @default.
- W2044983359 hasAuthorship W2044983359A5046578319 @default.
- W2044983359 hasAuthorship W2044983359A5049202803 @default.
- W2044983359 hasBestOaLocation W20449833592 @default.
- W2044983359 hasConcept C126322002 @default.
- W2044983359 hasConcept C142724271 @default.
- W2044983359 hasConcept C151956035 @default.
- W2044983359 hasConcept C167135981 @default.
- W2044983359 hasConcept C177713679 @default.
- W2044983359 hasConcept C187212893 @default.
- W2044983359 hasConcept C194828623 @default.
- W2044983359 hasConcept C201903717 @default.
- W2044983359 hasConcept C2776040555 @default.
- W2044983359 hasConcept C2776102371 @default.
- W2044983359 hasConcept C2777914695 @default.
- W2044983359 hasConcept C2780182762 @default.
- W2044983359 hasConcept C501593827 @default.
- W2044983359 hasConcept C71924100 @default.
- W2044983359 hasConcept C72563966 @default.
- W2044983359 hasConcept C86803240 @default.
- W2044983359 hasConcept C89423630 @default.
- W2044983359 hasConcept C94665300 @default.
- W2044983359 hasConceptScore W2044983359C126322002 @default.
- W2044983359 hasConceptScore W2044983359C142724271 @default.
- W2044983359 hasConceptScore W2044983359C151956035 @default.
- W2044983359 hasConceptScore W2044983359C167135981 @default.
- W2044983359 hasConceptScore W2044983359C177713679 @default.
- W2044983359 hasConceptScore W2044983359C187212893 @default.
- W2044983359 hasConceptScore W2044983359C194828623 @default.
- W2044983359 hasConceptScore W2044983359C201903717 @default.
- W2044983359 hasConceptScore W2044983359C2776040555 @default.
- W2044983359 hasConceptScore W2044983359C2776102371 @default.
- W2044983359 hasConceptScore W2044983359C2777914695 @default.
- W2044983359 hasConceptScore W2044983359C2780182762 @default.
- W2044983359 hasConceptScore W2044983359C501593827 @default.
- W2044983359 hasConceptScore W2044983359C71924100 @default.
- W2044983359 hasConceptScore W2044983359C72563966 @default.
- W2044983359 hasConceptScore W2044983359C86803240 @default.
- W2044983359 hasConceptScore W2044983359C89423630 @default.
- W2044983359 hasConceptScore W2044983359C94665300 @default.
- W2044983359 hasFunder F4320332161 @default.
- W2044983359 hasFunder F4320337338 @default.
- W2044983359 hasFunder F4320337351 @default.