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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Impact of active screening for methicillin-resistant Staphylococcus aureus (MRSA) and decolonization on MRSA infections, mortality and medical cost: a quasi-experimental study in surgical intensive care unit
|
|---|---|
| Published in |
Critical Care, December 2015
|
| DOI | 10.1186/s13054-015-0876-y |
| Pubmed ID | |
| Authors |
Yuarn-Jang Lee, Jen-Zon Chen, Hsiu-Chen Lin, Hsin-Yi Liu, Shyr-Yi Lin, Hsien-Ho Lin, Chi-Tai Fang, Po-Ren Hsueh |
| Abstract |
Methicillin-resistant Staphylococcus aureus (MRSA) is a leading pathogen of healthcare-associated infections in intensive care units (ICUs). Prior studies have shown that decolonization of MRSA carriers is an effective method to reduce MRSA infections in ICUs patients. However, there is currently a lack of data on its effect on mortality and medical cost. Using a quasi-experimental, interrupted time-series design with re-introduction of intervention, we evaluated the impact of active screening and decolonization on MRSA infections, mortality and medical costs in the surgical ICU of a university hospital in Taiwan. Regression models were used to adjust for effects of confounding variables. MRSA infection rate decreased from 3.58‰ (baseline) to 0.42‰ (intervention period) (P < 0.05), re-surged to 2.21‰ (interruption period), and decreased to 0.18‰ (re-introduction of intervention period) (P < 0.05). Patients admitted to surgical ICU during the intervention periods had a lower in-hospital mortality (13.5% [155/1147] vs. 16.6% [203/1226], P = 0.038). After adjusting for effects of confounding variables, the active screening and decolonization program was independently associated with a decrease in in-hospital MRSA infections (adjusted odds ratio: 0.3; 95% CI: 0.1-0.8) and 90-day mortality (adjusted hazard ratio: 0.8; 95% CI: 0.7-0.99). Cost analysis showed that $22 medical costs can be saved for every $1 spent on the intervention. Active screening for MRSA and decolonization in ICU settings is associated with a decrease in MRSA infections, mortality and medical cost. |
X Demographics
The data shown below were collected from the profiles of 8 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Puerto Rico | 2 | 25% |
| Spain | 1 | 13% |
| United States | 1 | 13% |
| Unknown | 4 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 63% |
| Practitioners (doctors, other healthcare professionals) | 3 | 38% |
Mendeley readers
The data shown below were compiled from readership statistics for 83 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 2 | 2% |
| Ethiopia | 1 | 1% |
| Brazil | 1 | 1% |
| Unknown | 79 | 95% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 21 | 25% |
| Researcher | 11 | 13% |
| Other | 8 | 10% |
| Student > Ph. D. Student | 8 | 10% |
| Student > Postgraduate | 5 | 6% |
| Other | 9 | 11% |
| Unknown | 21 | 25% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 23 | 28% |
| Agricultural and Biological Sciences | 6 | 7% |
| Nursing and Health Professions | 5 | 6% |
| Environmental Science | 5 | 6% |
| Immunology and Microbiology | 3 | 4% |
| Other | 16 | 19% |
| Unknown | 25 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 January 2019.
All research outputs
#5,141,226
of 25,374,917 outputs
Outputs from Critical Care
#3,344
of 6,554 outputs
Outputs of similar age
#78,693
of 395,421 outputs
Outputs of similar age from Critical Care
#278
of 466 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. Compared to these this one has done well and is in the 79th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,554 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one is in the 48th percentile – i.e., 48% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 395,421 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 80% of its contemporaries.
We're also able to compare this research output to 466 others from the same source and published within six weeks on either side of this one. This one is in the 40th percentile – i.e., 40% of its contemporaries scored the same or lower than it.