Determining the effect of social deprivation on the prevalence of healthcare-associated XXXX in acute hospitals: a multivariate analysis of a linked data set.

@entity1 @entity1949 @entity146 @entity29381 @entity281
BACKGROUND: Healthcare-associated @entity281 (HCAIs) endanger safety by increasing morbidity, mortality, and hospital stay. Studies identifying risk factors for @entity29381 rarely address the wider determinants of health. However, a well-characterized association exists between increasing social deprivation and poor health outcomes. Therefore it is important to determine whether HCAIs are associated with social deprivation. AIM: To determine the association between social deprivation and the prevalence of @entity29381 , in all inpatients in an acute hospital in Scotland on a single day across September and October 2011. METHODS: This study linked Scottish data from the 2011 European Point Prevalence Survey of @entity29381 and Antimicrobial Prescribing to the Scottish Morbidity Record 01, a national dataset with @entity1949 ( @entity1949 ) included. Multivariate logistic regression was used to model @entity29381 prevalence against @entity1949 quintile. FINDINGS: No overall association was found between @entity1949 quintile and prevalence of @entity29381 in all inpatients. A significant difference was found between @entity29381 prevalence across @entity1949 quintile in @entity1 undergoing surgical procedures, with higher prevalence observed with increasing deprivation (P  =  0.0071). Variables associated with @entity29381 prevalence were: intensive care specialty, @entity146 and medical specialties, minimum invasive surgery, and all categories of length of stay. CONCLUSION: This study found a significant difference in @entity29381 prevalence across @entity1949 quintile in @entity1 undergoing surgery. To our knowledge this was the first study to examine the overall association between @entity29381 and @entity1949 . The findings highlight the broad and comprehensive nature of social deprivation in determining health outcomes.
