Clinical Outcomes of Methicillin Resistant Staphylococcus Aureus (MRSA) Hospital-Based Pneumonia
Clinical Outcomes Among a National Veterans Affairs Methicillin Resistant Staphylococcus Aureus (MRSA) Pneumonia Cohort Treated With Linezolid Or Vancomycin
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- MRSA and pneumonia cases by ICD-9 code identification.
- Diagnosis included during inpatient stay.
- Treatment initiation in hospital.
Exclusion Criteria:
- Death of discharge within 3 days of treatment initiation.
- Exposure to other treatments with MRSA activity.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
linezolid (Zyvox)
|
As prescribed-this is retrospective cohort of existing clinical data.
|
|
Vancomycin
|
As prescribed-this is retrospective cohort of existing clinical data.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to 30-day Mortality
Tidsramme: Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Time to death (all-cause mortality) occurring within 30 days of treatment initiation was reported.
Mortality was assessed from admission vital status databases.
|
Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to Therapy Change
Tidsramme: Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Time to therapy change was calculated from initiation of therapy (index date) to change in therapy (event date).
Therapy change was defined as the discontinuation of linezolid or vancomycin and initiation of a different agent with activity against MRSA (clindamycin, daptomycin, doxycycline, linezolid, minocycline, tigecycline, trimethoprim/sulfamethoxazole, vancomycin).
As such, therapy change included switching from linezolid to vancomycin, switching from vancomycin to linezolid, or switching from either linezolid or vancomycin to another anti-MRSA antibiotic.
|
Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
|
Time to Discharge From the Hospital
Tidsramme: Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Time to discharge from hospital was calculated from initiation of therapy (index date) to hospital discharge (event date).
|
Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
|
Time to Transfer Out From the Intensive Care Unit (ICU)
Tidsramme: Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Time to discharge from the ICU was calculated from the initiation of therapy (index date) to the time the participant was transferred out from ICU (event date).
Transfer out of an ICU was assessed among those participants who had initiated linezolid or vancomycin therapy in the ICU.
|
Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
|
Time to Intubation
Tidsramme: Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Time to intubation was calculated from the initiation of therapy (index date) to intubation (event date).
|
Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
|
Time to 30-day Re-admission
Tidsramme: Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Time to readmission to any veterans affairs hospital facility within 30 days after hospital discharge was reported.
|
Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
|
Time to 30-day Methicillin-Resistant Staphylococcus Aureus (MRSA) Re-infection
Tidsramme: Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Time to MRSA re-infection was defined as readmission with MRSA infection to any veterans affairs hospital facility within 30 days after hospital discharge.
|
Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
|
Clinical Success
Tidsramme: Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Clinical success, a composite outcome defined as discharge from the hospital or ICU by day 14 after treatment initiation, in the absence of death, therapy change, or intubation by day 14.
Percentage of participants with clinical success was reported.
|
Baseline (1 January 2001) up to 3559 Days (30 September 2010)
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- A5951163
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