Inter-hospital variation in the utilization of diagnostics and their proportionality in the management of adult community-acquired pneumonia
| العنوان: | Inter-hospital variation in the utilization of diagnostics and their proportionality in the management of adult community-acquired pneumonia |
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| المؤلفون: | Vestjens, Stefan M T, Wittermans, Esther, Spoorenberg, Simone M C, Grutters, Jan C, van Ruitenbeek, Charlotte A, Voorn, G Paul, Bos, Willem Jan W, van de Garde, Ewoudt M W, Afd Pharmacoepi & Clinical Pharmacology, Pharmacoepidemiology and Clinical Pharmacology |
| المساهمون: | Afd Pharmacoepi & Clinical Pharmacology, Pharmacoepidemiology and Clinical Pharmacology |
| المصدر: | Pneumonia Pneumonia, 10(15). BioMed Central Pneumonia, Vol 10, Iss 1, Pp 1-5 (2018) |
| بيانات النشر: | BioMed Central, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | 0301 basic medicine, medicine.medical_specialty, Future studies, Community-acquired pneumonia, 030106 microbiology, Antimicrobial stewardship, Choosing wisely, 03 medical and health sciences, 0302 clinical medicine, medicine, 030212 general & internal medicine, lcsh:RC705-779, business.industry, Brief Report, lcsh:Diseases of the respiratory system, medicine.disease, Icu admission, Pneumonia, Cost driver, Radiological weapon, Emergency medicine, Adjunctive treatment, Costs and cost analysis, Microbiological testing, business |
| الوصف: | Background Utilization of diagnostics and biomarkers are the second largest cost drivers in the management of patients hospitalized with community-acquired pneumonia (CAP). The present study aimed to systematically assess the inter-hospital variation in these cost drivers in relation to antibiotic use in CAP. Methods Detailed resource utilization data from 300 patients who participated in a multicenter placebo-controlled trial investigating dexamethasone as adjunctive treatment for community-acquired pneumonia was grouped into 3 categories: clinical chemistry testing, radiological exams, and microbiological testing. Based on the identified top 5 items per category, average costs were calculated per category and per hospital. Antibiotic de-escalation at day 3 and secondary ICU admission were assessed as outcomes for proportionality of diagnostics use. Results The mean costs for diagnostics varied between hospitals from 350 (SD 31) to 841 (SD 37) euro per patient (p |
| وصف الملف: | image/pdf |
| اللغة: | English |
| تدمد: | 2200-6133 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2c1be1cc8a10f16cea664f2882bf8f2bTest http://europepmc.org/articles/PMC6305565Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2c1be1cc8a10f16cea664f2882bf8f2b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22006133 |
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