Close Patient Follow-up Among Patients Receiving Outpatient Parenteral Antimicrobial Therapy.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Danielle L Palms, Jesse T Jacob

Abstract

Outpatient parenteral antimicrobial therapy (OPAT) programs allow patients to receive intravenous treatment in the outpatient setting. We developed a predictive model of 30-day readmission among hospitalized patients discharged on OPAT from 2 academic medical centers with a dedicated OPAT clinic for management. A retrospective medical records review was performed and logistic regression was used to assess OPAT and other outpatient clinic follow-up in conjunction with age, sex, pathogen, diagnosis, discharge medication, planned length of therapy, and Charlson comorbidity score. We hypothesized that at least 1 follow-up visit at the Emory OPAT clinic would reduce the risk for hospital readmission within 30 days. Among 755 patients, 137 (18%) were readmitted within 30 days. Most patients (73%) received outpatient follow-up care at Emory Healthcare within 30 days of discharge or prior to readmission, including 52% of patients visiting the OPAT clinic. The multivariate logistic regression model indicated that a follow-up OPAT clinic visit was associated with lower readmission compared to those who had no follow-up visit (odds ratio, 0.10 [95% confidence interval, .06-.17]) after adjusting for infection with enterococci, Charlson sco...Continue Reading

References

Jul 1, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Alan D TiceUNKNOWN IDSA
Oct 1, 2008·International Journal of Antimicrobial Agents·Candice YongShu-Chuen Li
Jun 25, 2009·The Journal of Antimicrobial Chemotherapy·Jan HitchcockHayley J Wickens
Aug 22, 2009·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J KieranC Bergin
Sep 22, 2009·The Journal of Antimicrobial Chemotherapy·Ann L N ChapmanJulie D Patchett
Feb 3, 2012·The Journal of Antimicrobial Chemotherapy·Ann L N ChapmanUNKNOWN BSAC/BIA OPAT Project Good Practice Recommendations Working Group
Jun 2, 2012·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·G TheocharisM E Falagas
Mar 12, 2013·The Journal of Antimicrobial Chemotherapy·Christopher J A DuncanR Andrew Seaton
Jul 31, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Mai HubbardDominick Esposito
Sep 28, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Steven SchmittEric Hammelman
Dec 21, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Genève M AllisonDavid R Snydman
Nov 22, 2014·Scandinavian Journal of Infectious Diseases·Eavan G MuldoonGeneve M Allison
Jan 19, 2015·European Journal of Internal Medicine·Marcos PajarónUNKNOWN Hospital Valdecilla Endocarditis Study Group
Jan 22, 2015·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·S SubediE G Playford
Oct 17, 2015·Clinical Therapeutics·Christine A RuhKari A Mergenhagen
Nov 4, 2016·Open Forum Infectious Diseases·Russell M PetrakBrian P Harting
Jun 15, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Steven SchmittDaniel P McQuillen
Sep 25, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Akshay ShahMark W Smith

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Citations

Feb 8, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Michael MarksGabriele Pollara
Jul 4, 2020·Open Forum Infectious Diseases·Yasir HamadYvonne Burnett
Oct 25, 2020·The American Journal of the Medical Sciences·Andrew Barnes, Marina Nunez
May 5, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Eleanor D SadlerSara C Keller
Sep 23, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Alison RobinsNatalie J M Dailey Garnes

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