Patient and hospital characteristics associated with recommended processes of care for elderly patients hospitalized with pneumonia: results from the medicare quality indicator system pneumonia module

Archives of Internal Medicine
Jonathan M FineThomas P Meehan

Abstract

Unexplained wide variability exists in the performance of key initial processes of care associated with improved survival of elderly patients (those > or =65 years) hospitalized with pneumonia. The objective of this study was to assess which patient and hospital characteristics are associated with performance of these key initial processes of care for hospitalized elderly patients with pneumonia. A retrospective cohort analysis was performed using data from the Medicare Quality Indicator System Pneumonia Module for 14 069 patients 65 years or older hospitalized with pneumonia throughout the United States. Associations were calculated using multivariate logistic regression analysis between specific patient and hospital characteristics and 2 processes of care associated with improved 30-day survival: administration of antibiotics within 8 hours of hospital arrival and blood culture collection within 24 hours of arrival. Timely antibiotic administration was negatively associated with nonwhite race (African American: odds ratio [OR], 0.71; 95% confidence interval [CI], 0.60-0.85; and other racial minorities: OR, 0.79; 95% CI, 0.68-0.92), major hospital teaching status (OR, 0.79; 95% CI, 0.67-0.93), and larger hospital size (> or =2...Continue Reading

Citations

Oct 23, 2014·Human Reproduction·F A M KerstenUNKNOWN Improvement Study Group
Aug 12, 2004·BMC Health Services Research·Eric M MortensenJeff Whittle
Apr 29, 2008·Emerging Infectious Diseases·Philip BlumenshineJames Marks
May 2, 2008·BMC Emergency Medicine·Jeffrey M CaterinoDaniel R Martin
Dec 17, 2009·Critical Care Medicine·Florian B MayrDerek C Angus
Jun 17, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Rosella P M G HermensRichard P T M Grol
Jul 20, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J A SchoutenR P T M Grol
Jun 7, 2005·American Journal of Respiratory and Critical Care Medicine·Rosario MenéndezUNKNOWN NEUMOFAIL Group
Apr 17, 2014·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Joan J RyooMichael K Gould
Aug 18, 2006·Journal of the American Geriatrics Society·Tateaki NaitoHirotoshi Nakamura
Apr 15, 2008·Emergency Medicine Clinics of North America·Jeffrey M Caterino
Nov 11, 2005·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Dominik AronskyNathan C Dean
Sep 29, 2007·Critical Care Medicine·Stijn I BlotUNKNOWN Community-Acquired Pneumonia Intensive Care Units (CAPUCI) Study Investigators
May 23, 2007·Medical Care·L Elizabeth GoldmanR Adams Dudley
Jun 4, 2008·Medical Care·Julie SochalskiKevin Volpp
Feb 17, 2009·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Nima AfsharRobert Silbergleit
Aug 4, 2009·Medical Care·Leslie R M HausmannMichael J Fine
Apr 16, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Eduard E VasilevskisAndrew D Auerbach
Jun 13, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Kate GoodrichAndrew D Auerbach
Sep 29, 2020·Journal of Cancer Survivorship : Research and Practice·Charlotte IJsbrandyRosella P M G Hermens
May 7, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Erin QuattromaniD Mark Courtney
May 4, 2011·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Lucieni Oliveira ConternoCarlos Rodrigues da Silva Filho
Apr 26, 2017·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Manhal AliMohaimen Mansur
Apr 26, 2003·American Journal of Respiratory and Critical Care Medicine·Mark MeterskyWalter T Linde-Zwirble
Jun 28, 2018·Antimicrobial Resistance and Infection Control·Michael PuliaChristopher J Crnich
Sep 5, 2020·Risk Management and Healthcare Policy·Xiaojun LinJay Pan
Jan 21, 2021·Current Opinion in Infectious Diseases·Christian Davis FurmanForest W Arnold

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