Healthcare resource utilization for recurrent Clostridium difficile infection in a large university hospital in Houston, Texas.

<h4>Background</h4>There are limited data examining healthcare resource utilization in patients with recurrent Clostridium difficile infection (CDI).<h4>Methods</h4>Patients with CDI at a tertiary-care hospital in Houston, TX, were prospectively enrolled into an observational...

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Autores principales:	Samuel L Aitken, Tiby B Joseph, Dhara N Shah, Todd M Lasco, Hannah R Palmer, Herbert L DuPont, Yang Xie, Kevin W Garey
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/59e6bad0f6d745e8a322d6e9332c320f
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spelling	oai:doaj.org-article:59e6bad0f6d745e8a322d6e9332c320f2021-11-25T06:07:19ZHealthcare resource utilization for recurrent Clostridium difficile infection in a large university hospital in Houston, Texas.1932-620310.1371/journal.pone.0102848https://doaj.org/article/59e6bad0f6d745e8a322d6e9332c320f2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25057871/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>There are limited data examining healthcare resource utilization in patients with recurrent Clostridium difficile infection (CDI).<h4>Methods</h4>Patients with CDI at a tertiary-care hospital in Houston, TX, were prospectively enrolled into an observational cohort study. Recurrence was assessed via follow-up phone calls. Patients with one or more recurrence were included in this study. The location at which healthcare was obtained by patients with recurrent CDI was identified along with hospital length of stay. CDI-attributable readmissions, defined as a positive toxin test within 48 hours of admission and a primary CDI diagnosis, were also assessed.<h4>Results</h4>372 primary cases of CDI were identified of whom 64 (17.2%) experienced at least one CDI recurrence. Twelve of 64 patients experienced 18 further episodes of CDI recurrence. Of these 64 patients, 33 (50.8%) patients with recurrent CDI were readmitted of which 6 (18.2%) required ICU care, 29 (45.3%) had outpatient care only, and 2 (3.1%) had an ED visit. Nineteen (55.9%) readmissions were defined as CDI-attributable. For patients with CDI-attributable readmission, the average length of stay was 6 ± 6 days.<h4>Conclusion</h4>Recurrent CDI leads to significant healthcare resource utilization. Methods of reducing the burden of recurrent CDI should be further studied.Samuel L AitkenTiby B JosephDhara N ShahTodd M LascoHannah R PalmerHerbert L DuPontYang XieKevin W GareyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 7, p e102848 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Samuel L Aitken Tiby B Joseph Dhara N Shah Todd M Lasco Hannah R Palmer Herbert L DuPont Yang Xie Kevin W Garey Healthcare resource utilization for recurrent Clostridium difficile infection in a large university hospital in Houston, Texas.
description	<h4>Background</h4>There are limited data examining healthcare resource utilization in patients with recurrent Clostridium difficile infection (CDI).<h4>Methods</h4>Patients with CDI at a tertiary-care hospital in Houston, TX, were prospectively enrolled into an observational cohort study. Recurrence was assessed via follow-up phone calls. Patients with one or more recurrence were included in this study. The location at which healthcare was obtained by patients with recurrent CDI was identified along with hospital length of stay. CDI-attributable readmissions, defined as a positive toxin test within 48 hours of admission and a primary CDI diagnosis, were also assessed.<h4>Results</h4>372 primary cases of CDI were identified of whom 64 (17.2%) experienced at least one CDI recurrence. Twelve of 64 patients experienced 18 further episodes of CDI recurrence. Of these 64 patients, 33 (50.8%) patients with recurrent CDI were readmitted of which 6 (18.2%) required ICU care, 29 (45.3%) had outpatient care only, and 2 (3.1%) had an ED visit. Nineteen (55.9%) readmissions were defined as CDI-attributable. For patients with CDI-attributable readmission, the average length of stay was 6 ± 6 days.<h4>Conclusion</h4>Recurrent CDI leads to significant healthcare resource utilization. Methods of reducing the burden of recurrent CDI should be further studied.
format	article
author	Samuel L Aitken Tiby B Joseph Dhara N Shah Todd M Lasco Hannah R Palmer Herbert L DuPont Yang Xie Kevin W Garey
author_facet	Samuel L Aitken Tiby B Joseph Dhara N Shah Todd M Lasco Hannah R Palmer Herbert L DuPont Yang Xie Kevin W Garey
author_sort	Samuel L Aitken
title	Healthcare resource utilization for recurrent Clostridium difficile infection in a large university hospital in Houston, Texas.
title_short	Healthcare resource utilization for recurrent Clostridium difficile infection in a large university hospital in Houston, Texas.
title_full	Healthcare resource utilization for recurrent Clostridium difficile infection in a large university hospital in Houston, Texas.
title_fullStr	Healthcare resource utilization for recurrent Clostridium difficile infection in a large university hospital in Houston, Texas.
title_full_unstemmed	Healthcare resource utilization for recurrent Clostridium difficile infection in a large university hospital in Houston, Texas.
title_sort	healthcare resource utilization for recurrent clostridium difficile infection in a large university hospital in houston, texas.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/59e6bad0f6d745e8a322d6e9332c320f
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Healthcare resource utilization for recurrent Clostridium difficile infection in a large university hospital in Houston, Texas.

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