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10.1111/apt.13546

http://scihub22266oqcxt.onion/10.1111/apt.13546
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suck abstract from ncbi


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pmid26849527
      Aliment+Pharmacol+Ther 2016 ; 43 (6 ): 725-33
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  • Clostridium difficile associated risk of death score (CARDS): a novel severity score to predict mortality among hospitalised patients with C difficile infection #MMPMID26849527
  • Kassam Z ; Cribb Fabersunne C ; Smith MB ; Alm EJ ; Kaplan GG ; Nguyen GC ; Ananthakrishnan AN
  • Aliment Pharmacol Ther 2016[Mar]; 43 (6 ): 725-33 PMID26849527 show ga
  • BACKGROUND: Clostridium difficile infection (CDI) is a public health threat and associated with significant mortality. However, there is a paucity of objectively derived CDI severity scoring systems to predict mortality. AIM: To develop a novel CDI risk score to predict mortality entitled: Clostridium difficile associated risk of death score (CARDS). METHODS: We obtained data from the United States 2011 Nationwide Inpatient Sample (NIS) database. All CDI-associated hospitalisations were identified using discharge codes (ICD-9-CM, 008.45). Multivariate logistic regression was utilised to identify independent predictors of mortality. Clostridium difficile associated risk of death score was calculated by assigning a numeric weight to each parameter based on their odds ratio in the final logistic model. Predictive properties of model discrimination were assessed using the c-statistic and validated in an independent sample using the 2010 NIS database. RESULTS: We identified 77 776 hospitalisations, yielding an estimate of 374 747 cases with an associated diagnosis of CDI in the US, 8% of whom died in the hospital. The eight severity score predictors were identified on multivariate analysis: age, cardiopulmonary disease, malignancy, diabetes, inflammatory bowel disease, acute renal failure, liver disease and ICU admission, with weights ranging from -1 (for diabetes) to 5 (for ICU admission). The overall risk score in the cohort ranged from 0 to 18. Mortality increased significantly as CARDS increased. CDI-associated mortality was 1.2% with a CARDS of 0 compared to 100% with CARDS of 18. The model performed equally well in our validation cohort. CONCLUSION: Clostridium difficile associated risk of death score is a promising simple severity score to predict mortality among those hospitalised with C. difficile infection.
  • |*Clostridioides difficile [MESH]
  • |*Health Status Indicators [MESH]
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Age Factors [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Clostridium Infections/*mortality [MESH]
  • |Comorbidity [MESH]
  • |Female [MESH]
  • |Hospitalization [MESH]
  • |Humans [MESH]
  • |Inpatients [MESH]
  • |Logistic Models [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Multivariate Analysis [MESH]
  • |Odds Ratio [MESH]
  • |Socioeconomic Factors [MESH]
  • |United States [MESH]


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