Table 2:

Clinical outcomes by physician prescribing quartile

VariableNo. (%) of patients*p value
OverallQuartile 1Quartile 2Quartile 3Quartile 4
Days of therapy per 100 patient-days
No. of patients124 15831 95140 74535 39516 067
 In-hospital death5571 (4.5)1688 (5.3)1700 (4.2)1455 (4.1)728 (4.5)0.496
 ICU admission6972 (5.6)1656 (5.2)2382 (5.8)2027 (5.7)907 (5.6)0.262
 30-day readmission16 765 (13.5)4298 (13.5)5516 (13.5)4811 (13.6)2140 (13.3)0.577
 Length of stay, d, mean ± SD6.2 ± 5.56.4 ± 5.76.1 ± 5.56.1 ± 5.56.1 ± 5.40.054
Antimicrobial-free days, %
No. of patients124 15820 93933 83336 81132 575
 In-hospital death5571 (4.5)866 (4.1)1432 (4.2)1642 (4.5)1631 (5.0)0.135
 ICU admission6972 (5.6)1183 (5.6)2060 (6.1)1972 (5.4)1757 (5.4)0.81
 30-day readmission16 765 (13.5)2778 (13.3)4549 (13.4)4993 (13.6)4445 (13.6)0.142
 Length of stay, d, mean ± SD6.2 ± 5.56.0 ± 5.46.1 ± 5.56.2 ± 5.56.2 ± 5.60.455
Modified spectrum score§
No. of patients124 15824 82836 72538 85523 750
 In-hospital death5571 (4.5)1049 (4.2)1576 (4.3)1644 (4.2)1302 (5.5)0.338
 ICU admission6972 (5.6)1414 (5.7)2068 (5.6)2132 (5.5)1358 (5.7)0.54
 30-day readmission16 765 (13.5)3394 (13.7)5046 (13.7)5175 (13.3)3150 (13.3)0.914
 Length of stay, d, mean ± SD6.2 ± 5.56.0 ± 5.66.2 ± 5.56.1 ± 5.56.2 ± 5.60.366
  • Note: ICU = intensive care unit, SD = standard deviation.

  • * Unless indicated otherwise.

  • Days of therapy standardized to 100 patient-days of each prescriber’s service, which reflects an aggregate quantity of antimicrobial prescribing. (31)

  • Days without antimicrobial therapy, expressed as a percentage of total physician patient-days. (31)

  • § A score used to describe the aggregate intensity of antimicrobial prescribing (range 4 [penicillin] to 49.75 [tigecycline]). (28), (29)