Variable | No. (%) of patients* | p value | ||||
---|---|---|---|---|---|---|
Overall | Quartile 1 | Quartile 2 | Quartile 3 | Quartile 4 | ||
Days of therapy per 100 patient-days† | ||||||
No. of patients | 124 158 | 31 951 | 40 745 | 35 395 | 16 067 | |
In-hospital death | 5571 (4.5) | 1688 (5.3) | 1700 (4.2) | 1455 (4.1) | 728 (4.5) | 0.496 |
ICU admission | 6972 (5.6) | 1656 (5.2) | 2382 (5.8) | 2027 (5.7) | 907 (5.6) | 0.262 |
30-day readmission | 16 765 (13.5) | 4298 (13.5) | 5516 (13.5) | 4811 (13.6) | 2140 (13.3) | 0.577 |
Length of stay, d, mean ± SD | 6.2 ± 5.5 | 6.4 ± 5.7 | 6.1 ± 5.5 | 6.1 ± 5.5 | 6.1 ± 5.4 | 0.054 |
Antimicrobial-free days‡, % | ||||||
No. of patients | 124 158 | 20 939 | 33 833 | 36 811 | 32 575 | |
In-hospital death | 5571 (4.5) | 866 (4.1) | 1432 (4.2) | 1642 (4.5) | 1631 (5.0) | 0.135 |
ICU admission | 6972 (5.6) | 1183 (5.6) | 2060 (6.1) | 1972 (5.4) | 1757 (5.4) | 0.81 |
30-day readmission | 16 765 (13.5) | 2778 (13.3) | 4549 (13.4) | 4993 (13.6) | 4445 (13.6) | 0.142 |
Length of stay, d, mean ± SD | 6.2 ± 5.5 | 6.0 ± 5.4 | 6.1 ± 5.5 | 6.2 ± 5.5 | 6.2 ± 5.6 | 0.455 |
Modified spectrum score§ | ||||||
No. of patients | 124 158 | 24 828 | 36 725 | 38 855 | 23 750 | |
In-hospital death | 5571 (4.5) | 1049 (4.2) | 1576 (4.3) | 1644 (4.2) | 1302 (5.5) | 0.338 |
ICU admission | 6972 (5.6) | 1414 (5.7) | 2068 (5.6) | 2132 (5.5) | 1358 (5.7) | 0.54 |
30-day readmission | 16 765 (13.5) | 3394 (13.7) | 5046 (13.7) | 5175 (13.3) | 3150 (13.3) | 0.914 |
Length of stay, d, mean ± SD | 6.2 ± 5.5 | 6.0 ± 5.6 | 6.2 ± 5.5 | 6.1 ± 5.5 | 6.2 ± 5.6 | 0.366 |
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)