Evaluation of the Use of a Temporary Percutaneous Endotracheal Catheter in the Treatment and Prevention of Postoperative Pulmonary Complications

McCabe, Robert E.; Reid, William M.; Knox, W G

doi:10.1097/00000658-196207000-00002

Cited by 19 publications

(5 citation statements)

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“…Basic patient and microbiological information on culture date, hospital location, pathogen name, resistance phenotypic profile, presence of central venous catheter, and anatomic site of central venous catheter insertion were prospectively entered into a database. A uniform epidemiological data‐collecting tool was constructed before study initiation, and additional data that were retrospectively collected were sex, race, age, admission source, insurance type, presence of various comorbid conditions, Charlson comorbidity score, 23 McCabe score, 24,25 presence of indwelling medical devices at the time of hospital admission, body mass index, prior intensive care unit stay, and prior surgeries during the current admission. Obesity was defined as a body mass index of 30.0 kg/m 2 or greater.…”

Section: Methodsmentioning

confidence: 99%

Predictors of Nosocomial Bloodstream Infections in Older Adults

Kaye

Marchaim

Chen

et al. 2011

J American Geriatrics Society

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Section: Methodsmentioning

confidence: 99%

Predictors of Nosocomial Bloodstream Infections in Older Adults

Kaye

Marchaim

Chen

et al. 2011

J American Geriatrics Society

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“…Antimicrobial prophylaxis was deemed appropriate if an appropriate antimicrobial agent was given within 2 hours before the surgery, according to published guidelines 9 . McCabe Score 10 at the time of hospital admission (which reflects acute severity of illness) was retrospectively determined according to chart review, and Charlson score 11 (which reflects severity of underlying chronic illness) was calculated. Surgical duration was dichotomized using procedure‐specific NNIS cut points 12 .…”

Section: Methodsmentioning

confidence: 99%

Poor Functional Status Is an Independent Predictor of Surgical Site Infections Due to Methicillin‐Resistant Staphylococcus aureus in Older Adults

Chen

Anderson²,

Chopra

et al. 2010

J American Geriatrics Society

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BACKGROUND: Methicillin‐resistant Staphylococcus aureus (MRSA) has become a common surgical site infection (SSI) pathogen, particularly in older adults. Risk factors for MRSA SSI in elderly patients have not been described. METHODS: A nested case–control study was conducted. Patients were enrolled from seven study hospitals (one medical center and six community hospitals) between January 1, 1998, and April 1, 2003. Risk factors for MRSA SSI were identified by comparing cases with two reference groups: uninfected surgical patients and patients with SSI due to methicillin‐susceptible S. aureus (MSSA). Two separate multivariate models were created using logistic regression and then compared and contrasted. RESULTS: Eighty‐six patients with MRSA and 64 with MSSA SSI were identified. One hundred sixty‐seven uninfected surgical patients were selected. In multivariate analysis using uninfected surgical patients as controls, requiring assistance in three or more activities of daily living (ADLs) was an independent risk factor for MRSA SSI (odds ratio (OR)=2.73, 95% confidence interval (CI)=1.16–6.46). Using patients with MSSA SSIs as a reference group, requiring assistance in three or more ADLs was also a significant predictor for MRSA SSI (OR=3.78, 95% CI=1.43–9.98) in multivariate analysis. Other independent predictors included Charlson score, wound class, and surgical duration. Lack of independence in ADLs was an independent risk factor for MRSA SSI in elderly patients in both models. CONCLUSION: Poor functional status (requiring assistance in ≥3 ADLs) was specifically associated with MRSA SSI. Functional status is an objective, readily available variable that can be used to stratify patients at risk for MRSA SSI.

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“…All codes and definitions were established prior to study initiation. The following information was recorded: age and sex, admission category (medical, scheduled surgery or unscheduled surgery), origin (home, ward or emergency department) and McCabe score [15]. McCabe score is a classification evaluating patients' underlying comorbidities (1-non-fatal underlying disease; 2-ultimately fatal underlying disease; 3-rapidly fatal underlying disease).…”

Section: Data Collectionmentioning

confidence: 99%