| Association of length of stay and total hospital charges with antimicrobial regimen changes. | |
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MedLine Citation:
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PMID: 3132038 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The association of changes in antimicrobial therapy with length of stay and total hospital charges in a 600-bed general medical hospital was studied. Changes in antimicrobial regimens were examined in three diagnosis-related groups (DRGs): DRG 79 (respiratory infections and inflammations, age greater than 69 years, and/or secondary diagnosis), DRG 89 (simple pneumonia and pleurisy, age greater than 69 years, and/or secondary diagnosis), and DRG 416 (septicemia, age greater than 17 years). These changes were defined as follows: (1) switching from one drug or drug combination to another, (2) adding one or more drugs to a regimen, or (3) discontinuing one drug of a multiple-drug regimen. Variables examined for association with these changes were length of hospital stay and pharmacy, antimicrobial, intravenous therapy, and hospital charges. In DRGs 79 and 89, changes in antimicrobial regimens were associated with significantly longer hospital stay and significantly higher pharmacy, antimicrobial, intravenous therapy, and total hospital charges. In DRG 416, changes in antimicrobial regimens were not associated with higher charges or longer stay. Significant differences among DRGs were found with respect to the types of changes, with more changes from broad- to narrow-spectrum coverage occurring in DRGs 89 and 416 than in DRG 79. At this institution, patients whose antimicrobial regimens were changed had significantly longer hospital stays and higher charges in two of three DRGs. |
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Authors:
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D W Raisch; J L Bootman; W F McGhan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of hospital pharmacy Volume: 45 ISSN: 0002-9289 ISO Abbreviation: Am J Hosp Pharm Publication Date: 1988 Apr |
Date Detail:
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Created Date: 1988-07-14 Completed Date: 1988-07-14 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370474 Medline TA: Am J Hosp Pharm Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 819-23 Citation Subset: IM |
Affiliation:
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Department of Pharmacy Practice, College of Pharmacy, University of Arizona, Tucson 85721. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use Anti-Infective Agents / therapeutic use* Arizona Diagnosis-Related Groups / economics Fees and Charges Hospital Bed Capacity, 500 and over Hospitalization / economics* Humans Length of Stay* Pharmacy Service, Hospital / economics Statistics as Topic |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Anti-Infective Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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