Disparity in Race-Specific Comorbidities Associated With Central Venous Catheter–Related Bloodstream Infection (AHRQ-PSI7)

Details

• Alternative Title:
  Am J Med Qual
• Personal Author:
  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.
• Subjects:
  Black Or African American Catheter-Related Infections Catheterization, Central Venous Comorbidity Cross-Sectional Studies Female Florida Health Status Disparities Humans Male Middle Aged Patient Safety Population Groups Quality Indicators, Health Care Retrospective Studies White People

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• Keywords:
  Comorbidities Patient Safety Racial Disparity
• Source:
  Am J Med Qual. 28(6):525-532
• Pubmed ID:
  23526359
• Pubmed Central ID:
  PMC5836730
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  28
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8ca93cba188a0d0d2a836b84417b4c9181dba0582a8c1f89f06b282780d61922
• Download URL:
  https://stacks.cdc.gov/view/cdc/52369/cdc_52369_DS1.pdf
• File Type:
  [PDF - 235.93 KB ]