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Resource Utilization of Adults Admitted to a Large Urban Hospital With Community-Acquired Pneumonia Caused by Streptococcus pneumoniae: Summary

Posted in January 14th, 2015
Published in Pulmonary Function

Excluding those patients who died, median length of stay was 2 days longer in patients who met our definition of delayed discharge. If patients were discharged within 1 day of meeting our clinical definition and receiving oral antibiotic therapy, the median length of stay for these 88 patients would have been 3 days (range, 2 […]

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Resource Utilization of Adults Admitted to a Large Urban Hospital With Community-Acquired Pneumonia Caused by Streptococcus pneumoniae: Recommendation

Posted in January 13th, 2015
Published in Pulmonary Function

The present results do confirm findings from other studies demonstrating that hospital bed costs are the major contributor to total costs for CAP. In the study by Klepser et al, room costs accounted for 34% of total hospital costs and nursing costs accounted for 37%. Although we were not able to separate nursing costs from […]

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Resource Utilization of Adults Admitted to a Large Urban Hospital With Community-Acquired Pneumonia Caused by Streptococcus pneumoniae: Conclusion

Posted in January 12th, 2015
Published in Pulmonary Function

These results conflict with other studies that have identified increased costs attributed to infection with numerous resistant organisms, including S pneumoniae. In particular, our results conflict with a retrospective, cohort study of similar size but different time period by Klepser and colleagues; these investigators evaluated health-care resource utilization for the treatment of penicillin-susceptible and penicillin-nonsusceptible […]

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Resource Utilization of Adults Admitted to a Large Urban Hospital With Community-Acquired Pneumonia Caused by Streptococcus pneumoniae: Discussion

Posted in January 11th, 2015
Published in Pulmonary Function

Eighty-eight patients (52%) in our cohort met the definition of unexplained delayed discharge. Excluding patients who died in the hospital, the median length of stay was significantly longer in patients with unexplained delayed discharge: 7 days (25th to 75th percentile, 4 to 11 days) vs 5 days (25th to 75th percentile, 3.25 to 7 days) […]

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Resource Utilization of Adults Admitted to a Large Urban Hospital With Community-Acquired Pneumonia Caused by Streptococcus pneumoniae: Research

Posted in January 10th, 2015
Published in Pulmonary Function

Only one patient received IV penicillin G, and the majority of (3-lactam use was cefuroxime, ceftriaxone, or cefepime. Eighty-three patients (49.4%) received an oral antibiotic during their hospital stay for the treatment of CAP, with all but two being transitioned from an IV regimen. A greater percentage of patients in the penicillin-susceptible group were transitioned […]

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Resource Utilization of Adults Admitted to a Large Urban Hospital With Community-Acquired Pneumonia Caused by Streptococcus pneumoniae: Results

Posted in January 9th, 2015
Published in Pulmonary Function

Of the 543 patients identified with S pneumoniae-positive blood and/or respiratory culture findings, 168 patients met inclusion/exclusion criteria. Patients were excluded from the analysis for the following reasons: 203 patients had HIV infection, 72 patients did not meet clinical criteria or did not have a positive chest radiographic finding, 65 patients were discharged from the […]

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Resource Utilization of Adults Admitted to a Large Urban Hospital With Community-Acquired Pneumonia Caused by Streptococcus pneumoniae: Statistics

Posted in January 8th, 2015
Published in Pulmonary Function

Economic analyses were conducted from the hospital perspective. The primary analysis separated the cohort into two groups based on penicillin susceptibility (susceptible vs nonsusceptible). For all comparisons, the nonsusceptible group included both intermediate-resistant and resistant S pneumoniae. Continuous data were compared using a Student t test for normally distributed data or Mann-Whitney U test for […]

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