Disparity in Race-Specific Comorbidities Associated With Central Venous Catheter–Related Bloodstream Infection (AHRQ-PSI7)
Studies of racial disparities in hospital-level patient safety outcomes typically apply a race-common approach to risk adjustment. Risk factors specific to a minority population may not be identified in a race-common analysis if they represent only a small percentage of total cases. This study ident...
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| Veröffentlicht in: | American journal of medical quality 2013-11, Vol.28 (6), p.525-532 |
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| container_title | American journal of medical quality |
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| creator | Studnicki, James Ekezue, Bola F. Tsulukidze, Maka Honoré, Peggy Moonesinghe, Ramal Fisher, John |
| description | Studies of racial disparities in hospital-level patient safety outcomes typically apply a race-common approach to risk adjustment. Risk factors specific to a minority population may not be identified in a race-common analysis if they represent only a small percentage of total cases. This study identified patient comorbidities and characteristics associated with the likelihood of a venous catheter–related bloodstream infection (Agency for Healthcare Research and Quality Patient Safety Indicator 7 [PSI7]) separately for blacks and whites using race-specific logistic regression models. Hospitals were ranked by the racial disparity in PSI7 and segmented into 4 groups. The analysis identified both black- and white-specific risk factors associated with PSI7. Age showed race-specific reverse association, with younger blacks and older whites more likely to have a PSI7 event. These findings suggest the need for race-specific covariate adjustments in patient outcomes and provide a new context for examining racial disparities. |
| doi_str_mv | 10.1177/1062860613480826 |
| format | Article |
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These findings suggest the need for race-specific covariate adjustments in patient outcomes and provide a new context for examining racial disparities.</description><subject>African Americans</subject><subject>Catheter-Related Infections - epidemiology</subject><subject>Catheter-Related Infections - ethnology</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>European Continental Ancestry Group</subject><subject>Female</subject><subject>Florida</subject><subject>Health Status Disparities</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Safety</subject><subject>Population Groups</subject><subject>Quality Indicators, Health Care</subject><subject>Retrospective Studies</subject><issn>1062-8606</issn><issn>1555-824X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctuFDEQRS0EIg_YZxV5GRYNfnZ7NkiT5pGRIgGThGRnedzljKPu9mB7IkViwT_wh3wJDhMiiJSVS7qnrqvqIrRHyWtKm-YNJTVTNakpF4ooVj9B21RKWSkmLp6WusjVrb6FdlK6IoRJKehztMW4ZDWXk230_Z1PKxN9vsF-xHNjoTpZgfXOW9yGIcSF73z2kPA0pWC9ydDhc5-XuIUxR9PjrzCGdcKtyUvIEH_9-DmH_g922IfQpRzBDHg2OrDZhxEfTI_mX6rPJ7Pm1Qv0zJk-wcu7dxedfXh_2h5Vx58-ztrpcWUFF7miE8YtBQtWLSxtwFnGugWhjnPnOHO1FR0DS-TEKcOACWLAKFe2t50CKfguervxXa0XA3R2M7leRT-YeKOD8fp_ZfRLfRmutVS8bjgpBgd3BjF8W0PKevDJQt-bEcrymgo5kTUXkhWUbFAbQ0oR3P03lOjb0PTD0ErL_r_j3Tf8TakA1QZI5hL0VVjHsZzrccPfwmeiZQ</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Studnicki, James</creator><creator>Ekezue, Bola F.</creator><creator>Tsulukidze, Maka</creator><creator>Honoré, Peggy</creator><creator>Moonesinghe, Ramal</creator><creator>Fisher, John</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>Disparity in Race-Specific Comorbidities Associated With Central Venous Catheter–Related Bloodstream Infection (AHRQ-PSI7)</title><author>Studnicki, James ; Ekezue, Bola F. ; Tsulukidze, Maka ; Honoré, Peggy ; Moonesinghe, Ramal ; Fisher, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-1923c1ecec8bc17efc22db01f33ff32f6c4d2ec059f8a2e240aea8f106cd8e543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>African Americans</topic><topic>Catheter-Related Infections - epidemiology</topic><topic>Catheter-Related Infections - ethnology</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>European Continental Ancestry Group</topic><topic>Female</topic><topic>Florida</topic><topic>Health Status Disparities</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Safety</topic><topic>Population Groups</topic><topic>Quality Indicators, Health Care</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Studnicki, James</creatorcontrib><creatorcontrib>Ekezue, Bola F.</creatorcontrib><creatorcontrib>Tsulukidze, Maka</creatorcontrib><creatorcontrib>Honoré, Peggy</creatorcontrib><creatorcontrib>Moonesinghe, Ramal</creatorcontrib><creatorcontrib>Fisher, John</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of medical quality</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Studnicki, James</au><au>Ekezue, Bola F.</au><au>Tsulukidze, Maka</au><au>Honoré, Peggy</au><au>Moonesinghe, Ramal</au><au>Fisher, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disparity in Race-Specific Comorbidities Associated With Central Venous Catheter–Related Bloodstream Infection (AHRQ-PSI7)</atitle><jtitle>American journal of medical quality</jtitle><addtitle>Am J Med Qual</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>28</volume><issue>6</issue><spage>525</spage><epage>532</epage><pages>525-532</pages><issn>1062-8606</issn><eissn>1555-824X</eissn><abstract>Studies of racial disparities in hospital-level patient safety outcomes typically apply a race-common approach to risk adjustment. 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| ispartof | American journal of medical quality, 2013-11, Vol.28 (6), p.525-532 |
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| language | eng |
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| subjects | African Americans Catheter-Related Infections - epidemiology Catheter-Related Infections - ethnology Catheterization, Central Venous - adverse effects Comorbidity Cross-Sectional Studies European Continental Ancestry Group Female Florida Health Status Disparities Humans Male Middle Aged Patient Safety Population Groups Quality Indicators, Health Care Retrospective Studies |
| title | Disparity in Race-Specific Comorbidities Associated With Central Venous Catheter–Related Bloodstream Infection (AHRQ-PSI7) |
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