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Substantial Variation in Hospital Rankings after Adjusting for Hospital-Level Predictors of Publicly-Reported Hospital-Associated Clostridium difficile Infection Rates

  • Rupak Datta (a1) (a2), N. Neely Kazerouni (a3), Jon Rosenberg (a3), Vinh Q. Nguyen (a4), Michael Phelan (a4), John Billimek (a2), Chenghua Cao (a1) (a2), Patricia McLendon (a3), Kate Cummings (a3) and Susan S. Huang (a1) (a2)...


Across 366 California hospitals, we identified hospital-level characteristics predicting increased hospital-associated Clostridium difficile infection (HA-CDI) rates including more licensed beds, teaching and long-term acute care (LTAC) hospitals, and polymerase chain reaction testing. Adjustment for these characteristics impacted rankings in 24% of teaching hospitals, 13% of community hospitals, and 11% of LTAC hospitals.

Infect Control Hosp Epidemiol 2015;00(0): 1–3


Corresponding author

Address correspondence to Rupak Datta, MD, PhD, University of California Irvine School of Medicine, Health Policy Research Institute, 100 Theory, Suite 110, Irvine, CA 92697 (


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PREVIOUS PRESENTATIONS: Preliminary findings of this study were presented at IDWeek 2012 in San Diego, California, (October 17–21, 2012) on October 18, 2012 (Abstract 36359, Poster Board #350, Session #52 on C. difficile Epidemiology) and the 2013 Counsel of State and Territorial Epidemiologists Annual Conference in Pasadena, California (June 9–13, 2013) on June 12, 2013 (Abstract 2427, Session: Late-Breaker Abstracts).



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