Clinicians who primarily practice in nursing homes and outcomes among residents with urinary tract infection or pneumonia.

ABSTRACT:

Objective

Assess the association between clinicians who primarily practice in nursing homes (NHs) and 14-day resident outcomes following initial antibiotic dispensing for pneumonia or urinary tract infection (UTI).

Design

Retrospective cohort.

Setting

U.S. NHs.

Participants

NH residents aged ≥65 years who were prescribed antibiotics for pneumonia or UTI between 1 January 2016 and 30 November 2018.

Methods

Medicare fee-for-service claims were linked to Minimum Data Set data. Clinicians who primarily practiced in NHs prescribed ≥90% of Part D dispensings to NH residents. Outcomes included death, all-cause and infection-specific hospitalization, and subsequent antibiotic dispensing. Adjusted risk ratios were estimated using inverse-probability-of-treatment-

SUBMITTER: Riester MR 

PROVIDER: S-EPMC10762639 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature