Surveillance length and validity of benchmarks for central line-associated bloodstream infection incidence rates in intensive care units

Several national and regional central line-associated bloodstream infections (CLABSI) surveillance programs do not require continuous hospital participation. We evaluated the effect of different hospital participation requirements on the validity of annual CLABSI incidence rate benchmarks for intens...

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Published in:PloS one 2012-05, Vol.7 (5), p.e36582-e36582
Main Authors: Fontela, Patricia S, Quach, Caroline, Buckeridge, David, Pai, Madukhar, Platt, Robert W
Format: Article
Language:English
Subjects:
Benchmarking
Benchmarks
Bias
Biology
Catheter-Related Infections - epidemiology
Catheter-Related Infections - etiology
Catheterization, Central Venous - adverse effects
Children & youth
Comparative analysis
Computer simulation
Cross infection
Cross Infection - epidemiology
Datasets
Disease control
Epidemiology
Estimates
Health aspects
Hospitals
Hospitals - statistics & numerical data
Humans
Incidence
Infections
Intensive care
Intensive care units
Intensive Care Units - statistics & numerical data
Medical statistics
Medicine
Nosocomial infections
Occupational health
Participation
Patient safety
Pediatrics
Population Surveillance
Simulation
Studies
Surveillance
Validity
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description Several national and regional central line-associated bloodstream infections (CLABSI) surveillance programs do not require continuous hospital participation. We evaluated the effect of different hospital participation requirements on the validity of annual CLABSI incidence rate benchmarks for intensive care units (ICUs). We estimated the annual pooled CLABSI incidence rates for both a real regional (
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We evaluated the effect of different hospital participation requirements on the validity of annual CLABSI incidence rate benchmarks for intensive care units (ICUs). We estimated the annual pooled CLABSI incidence rates for both a real regional (&lt;100 ICUs) and a simulated national (600 ICUs) surveillance program, which were used as a reference for the simulations. We simulated scenarios where the annual surveillance participation was randomly or non-randomly reduced. Each scenario's annual pooled CLABSI incidence rate was estimated and compared to the reference rates in terms of validity, bias, and proportion of simulation iterations that presented valid estimates (ideal if ≥ 90%). All random scenarios generated valid CLABSI incidence rates estimates (bias -0.37 to 0.07 CLABSI/1000 CVC-days), while non-random scenarios presented a wide range of valid estimates (0 to 100%) and higher bias (-2.18 to 1.27 CLABSI/1000 CVC-days). 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subjects Benchmarking
Benchmarks
Bias
Biology
Catheter-Related Infections - epidemiology
Catheter-Related Infections - etiology
Catheterization, Central Venous - adverse effects
Children & youth
Comparative analysis
Computer simulation
Cross infection
Cross Infection - epidemiology
Datasets
Disease control
Epidemiology
Estimates
Health aspects
Hospitals
Hospitals - statistics & numerical data
Humans
Incidence
Infections
Intensive care
Intensive care units
Intensive Care Units - statistics & numerical data
Medical statistics
Medicine
Nosocomial infections
Occupational health
Participation
Patient safety
Pediatrics
Population Surveillance
Simulation
Studies
Surveillance
Validity
title Surveillance length and validity of benchmarks for central line-associated bloodstream infection incidence rates in intensive care units
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