Mark L Metersky1, Noel Eldridge2, Yun Wang3, Eric M Mortensen4, Jennifer Meddings5. 1. Qualidigm, Wethersfield, CT; Division of Pulmonary, Critical Care and Sleep Medicine, University of Connecticut School of Medicine, Farmington, CT. Electronic address: Metersky@uchc.edu. 2. Agency for Healthcare Research and Quality, United States Department of Health and Human Services, Rockville, MD. 3. Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA. 4. Section of General Internal Medicine, VA North Texas Health Care System and University of Texas Southwestern Medical Center, Dallas, TX. 5. Divisions of General Medicine and General Pediatrics, Departments of Internal Medicine and Pediatrics, University of Michigan School of Medicine, Ann Arbor, MI; Department of Medicine, Veterans Affairs Ann Arbor Medical Center, Ann Arbor, MI.
Abstract
BACKGROUND: It is unclear if bladder catheterization and catheter-associated urinary tract infection (CAUTI) rates have changed since the implementation of public reporting in 2011. METHODS: We analyzed data from the Medicare Patient Safety Monitoring System, a national, chart abstraction-based surveillance system, for hospitalized adults with a principal discharge diagnosis of heart failure (HF), acute myocardial infarction (AMI), or pneumonia and patients who had undergone certain major surgeries. We assessed bladder catheterization frequency (percentage of patients catheterized) and risk-adjusted CAUTI frequency (percentage of catheterized patients developing CAUTI) from 2009-2014. RESULTS: Bladder catheterization frequency declined significantly (6.6% for AMI patients, 8.0% for HF patients, and 5.7% for surgical patients). For pneumonia patients, there was a nonsignificant increase of 1.1%. The risk-adjusted CAUTI rate among AMI patients decreased by 9.7% each year relative to the year before. For surgical patients, the decrease was 9.1% per year. There was no significant decline among HF or pneumonia patients. The overall burden of CAUTI among surgical patients was higher than for the other conditions because surgical patients were more likely to be catheterized. CONCLUSIONS: There were statistically significant declines in observed bladder catheterization frequency and adjusted CAUTI frequency in some patient populations between 2009 and 2014.
BACKGROUND: It is unclear if bladder catheterization and catheter-associated urinary tract infection (CAUTI) rates have changed since the implementation of public reporting in 2011. METHODS: We analyzed data from the Medicare Patient Safety Monitoring System, a national, chart abstraction-based surveillance system, for hospitalized adults with a principal discharge diagnosis of heart failure (HF), acute myocardial infarction (AMI), or pneumonia and patients who had undergone certain major surgeries. We assessed bladder catheterization frequency (percentage of patients catheterized) and risk-adjusted CAUTI frequency (percentage of catheterized patients developing CAUTI) from 2009-2014. RESULTS: Bladder catheterization frequency declined significantly (6.6% for AMI patients, 8.0% for HF patients, and 5.7% for surgical patients). For pneumoniapatients, there was a nonsignificant increase of 1.1%. The risk-adjusted CAUTI rate among AMI patients decreased by 9.7% each year relative to the year before. For surgical patients, the decrease was 9.1% per year. There was no significant decline among HF or pneumoniapatients. The overall burden of CAUTI among surgical patients was higher than for the other conditions because surgical patients were more likely to be catheterized. CONCLUSIONS: There were statistically significant declines in observed bladder catheterization frequency and adjusted CAUTI frequency in some patient populations between 2009 and 2014.
Authors: Trevor Barnum; Leah C Tatebe; Amy L Halverson; Irene B Helenowski; Anthony D Yang; David D Odell Journal: Acad Med Date: 2020-03 Impact factor: 6.893
Authors: Mark L Metersky; Noel Eldridge; Yun Wang; Sheila Eckenrode; Deron Galusha; Lisa Jaser; Jasie Mathew; Steven Angus; Robert Nardino Journal: J Patient Saf Date: 2022-04-01 Impact factor: 2.243
Authors: Mohamad J Halawi; Christian Gronbeck; Mark L Metersky; Yun Wang; Sheila Eckenrode; Jasie Mathew; Lisa G Suter; Noel Eldridge Journal: Arthroplast Today Date: 2021-09-22