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Table 2 Patient characteristics, clinical and economic outcomes

From: The healthcare costs of antimicrobial resistance in Lebanon: a multi-centre prospective cohort study from the payer perspective

 

Healthcare-associated infections

Community-associated infections

 

Post-HAI method

Matched Method

Conventional method

 

Resistant

Susceptible

p-values

Resistant

Susceptible

p-values

Resistant

Susceptible

p-values

No.

374

283

 

238

238

 

299

333

 

Characteristics prior to infection

 Age (median [IQR])

69 (56–80)

67 (52–78)

0.174

67 (55–80)

68 (53–79)

1.000

81 (69–85)

70 (46–79)

0.152

 Female sex

170 (45%)

135 (48%)

0.311

105 (44%)

117 (49%)

0.156

152 (51%)

191 (57%)

0.059

 Previous hospitalizationa

250 (67%)

182 (64%)

0.276

169 (71%)

147 (62%)

0.021

–

–

1.000

 Transfer from another healthcare facility

22 (6%)

18 (6%)

0.462

15 (6%)

14 (6%)

0.500

–

–

 

 Invasive surgery

124 (33%)

80 (28%)

0.104

74 (31%)

73 (31%)

0.500

66 (22%)

60 (18%)

0.120

 Charlson Co-morbidity Index (median [IQR])

4 (3–6)

4 (2–6)

0.205

4 (3–6)

4 (2–6)

0.854

6 (5–8)

5 (1–6)

0.002

 Previous antibiotic exposurea

67 (18%)

35 (12%)

0.032

46 (19%)

32 (13%)

0.054

52 (17%)

36 (1%)

0.012

Infection and patient outcomes

A-Clinical parameters

 ICU admission

124 (33%)

75 (26%)

0.040

70 (29%)

60 (25%)

0.177

66 (22%)

39 (12%)

< 0.001

 ICU days (median [IQR])

9 (4–18)

6 (3–11)

0.144

8 (4–18)

6 (3–10)

0.237

8 (12–19)

6 (2–20)

0.987

 Central venous catheter

60 (16%)

35 (12%)

0.112

35 (15%)

25 (10%)

0.107

27 (10%)

15 (36%)

0.017

 Central venous catheter days (median [IQR])

11 (4–20)

8 (4–11)

0.164

12 (5–18)

7 (4–11)

0.076

11 (5–17)

6 (3–20)

0.894

 Urinary catheter

143 (38%)

90 (32%)

0.052

82 (48%)

89 (37%)

0.283

85 (29%)

61 (18%)

0.004

 Urinary catheter days (median [IQR])

8 (5–16)

8 (5–11)

0.385

7 (5–16)

8 (5–11)

0.644

12 (8–18)

6 (3.5–19.5)

0.943

 Mechanical ventilation

86 (23%)

42 (15%)

0.005

48 (20%)

36 (15%)

0.093

29 (10%)

16 (5%)

0.013

 Mechanical ventilation days (median [IQR])

9 (2.5–17)

0 (0–4)

< 0.001

7 (2–17)

0 (0–4)

0.001

11 (5–15)

1 (0–5)

0.002

Infection site

 Bloodstream

65 (56%)

51 (18%)

0.455

44 (18%)

39 (16%)

0.315

39 (13%)

44 (13%)

0.522

 Urinary tract

213 (57%)

115 (41%)

< 0.001

134 (56%)

97 (41%)

< 0.001

197 (66%)

201 (60%)

0.053

 Respiratory tract

92 (24%)

44 (15%)

0.003

41 (17%)

50 (21%)

0.176

27 (9%)

32 (10%)

0.456

 Intraabdominal

16 (4%)

29 (10%)

0.002

12 (5%)

20 (8%)

0.100

17 (6%)

34 (10%)

0.025

 Skin/Soft tissue/Osteomyelitis

88 (23%)

76 (27%)

0.188

63 (26%)

71 (30%)

0.238

60 (20%)

41 (12%)

0.002

Positive culture ≥ 2

88 (23%)

32 (11%)

< 0.001

59 (25%)

29 (12%)

< 0.001

51 (17%)

257%)

< 0.001

Polymicrobial

74 (20%)

19 (7%)

< 0.001

54 (75%)

18 (8%)

< 0.001

44 (15%)

20 (6%)

< 0.001

APACHE score II (median [IQR])

6 (1–16)

1 (1–12)

0.527

4 (1–19)

1 (1–12)

0.706

–

–

 

Appropriate antibiotic therapy

203 (54%)

248 (88%)

< 0.001

203 (85%)

203 (85%)

1.000

193 (64%)

287 (86%)

< 0.001

In-hospital Mortality

81 (72%)

32 (28%)

< 0.001

41 (61%)

26 (39%)

0.032

24 (65%)

13 (35%)

0.021

 Mortality due to infection

49 (77%)

15 (23%)

0.135

25 (64%)

14 (36%)

0.373

11 (58%)

8 (42%)

0.286

B-Economic parameters

 LOS prior to index date (median [IQR]),days

0 (0–4)

0 (0–4)

0.426

0 (0–4)

0 (0–4)

0.520

–

–

 

 LOS post index date (median [IQR]),days

7 (4–14)

6 (3–10)

0.016

7 (5–14)

7 (4–11)

0.408

7 (4–12)

5 (3–8)

< 0.001

 Stay charges at ward levelb

761 (1094)

643 (797)

0.059

790 (1181)

661 (792)

0.200

534 (590)

364 (323)

< 0.001

 ICU stay chargesb

852 (2049)

508 (1252)

0.007

726 (1930)

466 (1158)

0.077

366 (1093)

240 (47)

0.109

 Total stay chargesb

1122 (1532)

910 (1350)

0.063

1045 (1402)

894 (1260)

0.220

851 (1151)

578 (822)

0.001

Pharmaceuticals chargesb

1872 (3137)

1129 (1680)

< 0.001

1851 (3458)

1030 (1505)

0.001

952 (1291)

628 (1191)

0.001

 Antibiotics chargesb

639 (1365)

314 (598)

< 0.001

609 (1475)

269 (426)

0.001

378 (649)

193 (366)

< 0.001

Medical Accessories chargesb

252 (1120)

163 (484)

0.243

231 (1176)

165 (461)

0.425

91 (288)

69 (450)

0.476

Oxygen chargesb

135 (658)

52 (151)

0.016

132 (760)

54 (151)

0.121

40 (168)

19 (73)

0.037

Imaging chargesb

310 (387)

292 (400)

0.224

318 (425)

277 (390)

0.280

252 (282)

185 (221)

0.001

Laboratory and microbiology chargesb

893 (1040)

756 (910)

0.018

868 (984)

714 (872)

0.071

638 (1080)

435 (413)

0.002

Third-party paymentb

3865 (4673)

2709 (3053)

< 0.001

3740 (4826)

2567 (2701)

0.001

2829 (3183)

1930 (2186)

< 0.001

Patient co-paymentb

379 (1684)

126 (764)

< 0.001

513 (1066)

341 (582)

0.030

263 (1217)

104 (492)

0.001

Total charges from index dateb

4363 (5052)

2800 (3221)

< 0.001

4278 (5027)

2882 (3108)

< 0.001

329 (601)

199 (321)

< 0.001

  1. Data are displayed as mean (standard deviation) or number (%) of patients unless indicated otherwise
  2. Percentages were rounded to the nearest whole number
  3. Index date: date of first positive culture
  4. a Within the preceding 90 days
  5. b Hospital charges from index date till discharge expressed as mean (SD), USD
  6. Community-associated infections were defined as those diagnosed within first 3 days of hospitalization in patients who had not been hospitalized in the previous 7 days. Healthcare-associated infections were defined as those diagnosed on third day in hospital or later
  7. Abbreviations: n, sample size; IQR, interquartile range; SD, standard deviation; ICU, Intensive care unit; CV, Central venous; APACHE II, Acute Physiology and Chronic Health Evaluation; LOS, Length of stay; USD, United States dollars