Hostname: page-component-848d4c4894-2xdlg Total loading time: 0 Render date: 2024-06-15T00:47:04.107Z Has data issue: false hasContentIssue false

External validation of the Michigan PICC catheter–associated bloodstream infections score (MPC score) for predicting the risk of peripherally inserted central catheter–associated bloodstream infections: A single-center study in Japan

Published online by Cambridge University Press:  20 December 2021

Hirotaka Sakai
Affiliation:
Department of Emergency and General Internal Medicine, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
Mitsunaga Iwata
Affiliation:
Department of Emergency and General Internal Medicine, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
Teruhiko Terasawa*
Affiliation:
Department of Emergency and General Internal Medicine, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
*
Author for correspondence: Teruhiko Terasawa, E-mail: terasawa@fujita-hu.ac.jp

Abstract

The Michigan peripherally inserted central catheter–associated bloodstream infection score (MPC score) had been developed for hospitalized medical patients but had not been externally validated. A retrospective analysis of a clinically heterogeneous case-mix in a university hospital cohort in Japan failed to validate its originally reported good performance.

Type
Concise Communication
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chopra, V, Anand, S, Krein, SL, Chenoweth, C, Saint, S. Bloodstream infection, venous thrombosis, and peripherally inserted central catheters: reappraising the evidence. Am J Med 2012;125:733741.CrossRefGoogle ScholarPubMed
Rubin, DS, Apfelbaum, JL, Tung, A. Trends in central venous catheter insertions by anesthesia providers: an analysis of the medicare physician supplier procedure summary from 2007 to 2016. Anesth Analg 2020;130:10261034.CrossRefGoogle ScholarPubMed
Herc, E, Patel, P, Washer, LL, Conlon, A, Flanders, SA, Chopra, V. A model to predict central-line-associated bloodstream infection among patients with peripherally inserted central catheters: the MPC score. Infect Control Hosp Epidemiol 2017;38:11551166.CrossRefGoogle Scholar
National Healthcare Safety Network (NHSN). Bloodstream infection (BSI) events. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf. Published Jan 2021. Accessed August 19, 2021.Google Scholar
Royston, P, Altman, DG. External validation of a Cox prognostic model: principles and methods. BMC Med Res Methodol 2013;13:33.CrossRefGoogle ScholarPubMed
Vickers, AJ, Elkin, EB. Decision curve analysis: a novel method for evaluating prediction models. Med Decis Making 2006;26:565574.CrossRefGoogle ScholarPubMed
Steyerberg, EW. Clinical Prediction Models: A Practical Approach to Development, Validation, and Updating. New York: Springer International; 2019.CrossRefGoogle Scholar
Riley, RD, van der Windt, D, Croft, P, Moons, KGM. Prognosis Research in Healthcare: Concepts, Methods, and Impact. New York: Oxford Universty Press; 2019.CrossRefGoogle Scholar
Collins, GS, Ogundimu, EO, Altman, DG. Sample size considerations for the external validation of a multivariable prognostic model: a resampling study. Stat Med 2016;35:214226.CrossRefGoogle Scholar
Debray, TP, Vergouwe, Y, Koffijberg, H, Nieboer, D, Steyerberg, EW, Moons, KG. A new framework to enhance the interpretation of external validation studies of clinical prediction models. J Clin Epidemiol 2015;68:279289.CrossRefGoogle ScholarPubMed
Supplementary material: File

Sakai et al. supplementary material

Sakai et al. supplementary material
Download Sakai et al. supplementary material(File)
File 412.6 KB