Table 1 Cross-sectional study: (Insert the title of the paper you are appraising) Critical appraisal questions Underline your answer 1.Were the criteria for inclusion in the sample clearly defined?...

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Table 1 Cross-sectional study: (Insert the title of the paper you are appraising) Critical appraisal questions Underline your answer 1.Were the criteria for inclusion in the sample clearly defined? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 2.Were the study subjects and the setting described in detail? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 3.Was the exposure measured in a valid and reliable way? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 4.Were objective, standard criteria used for measurement of the condition? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 5.Were confounding factors identified? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 6.Were strategies to deal with confounding factors stated? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 7.Were the outcomes measured in a valid and reliable way? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 8.Was appropriate statistical analysis used? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Add additional pages if needed Reference: (insert the reference here according to APA 6th edition) Table 2 Case-control study: (Insert the title of the paper you are appraising) Critical appraisal questions Underline your answer 1.Did the study address a clearly focused issue? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 2. Did the authors use an appropriate method to answer their question? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 3. Were the cases recruited in an acceptable way? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 4. Were the controls selected in an acceptable way? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 5. Was the exposure accurately measured to minimise bias? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 6. Aside from the experimental intervention, were the groups treated equally? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 7. Have the authors taken account of the potential confounding factors in the design and/or in their analysis? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 8. How large was the treatment effect? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 9. How precise was the estimate of the treatment effect? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 10. Do you believe the results? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 11. Can the results be applied to the local population? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 12. Do the results of this study fit with other available evidence? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Add additional pages if needed Reference: (insert the reference here according to APA 6th edition) Table 3 Cohort study: (Insert the title of the paper you are appraising) Critical appraisal questions Underline your answer 1.Did the study address a clearly focused issue? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 2.Was the cohort recruited in an acceptable way? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 3.Was the exposure accurately measured to minimise bias? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 4.Was the outcome accurately measured to minimise bias? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 5(a)Have the authors identified all important confounding factors? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 5(b)Have they taken account of the confounding factors in the design and/or analysis? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 6(a)Was the follow up of subjects complete enough? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 6(b)Was the follow up of subjects long enough? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 7.What are the results of this study? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 8.How precise are the results? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 9.Do you believe the results? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 10.Can the results be applied to the local population? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 11.Do the results of this study fit with other available evidence? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 12.What are the implications of this study for practice? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Add additional pages if needed Reference: (insert the reference here according to APA 6th edition) Add additional pages if needed Table 3 Randomised controlled trial: (Insert the title of the paper you are appraising) Critical appraisal questions Underline your answer 1. Did the trial address a clearly focused issue? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 2. Was the assignment of patients to treatments randomised? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 3. Were all of the patients who entered the trial properly accounted for at its conclusion? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 4.Were patients, health workers and study personnel ‘blind’ to treatment? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 5.Were the groups similar at the start of the trial? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 6.Aside from the experimental intervention, were the groups treated equally? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 7.How large was the treatment effect? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 8.How precise was the estimate of the treatment effect? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 9.Can the results be applied to the local population, or in your context? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 10.Were all clinically important outcomes considered? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 11.Are the benefits worth the harms and costs? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution PUBH6005_Assessment 3 templatePage 1 PUBH6005_Assessment 3 template Page 1 Table 1 Cross - sectional study : (Insert the title of the paper you are appraising) Critical appraisal questions Underline your answer 1. Were the criteria for inclusion in the sample clearly defined? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 2. Were the study subjects and the setting described in detail? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 3. Was the exposure measured in a valid and reliable way? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 4. Were objective, standard criteria used for measurement of the condition? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer PUBH6005_Assessment 3 template Page 1 Table 1 Cross-sectional study: (Insert the title of the paper you are appraising) Critical appraisal questions Underline your answer 1.Were the criteria for inclusion in the sample clearly defined? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 2.Were the study subjects and the setting described in detail? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 3.Was the exposure measured in a valid and reliable way? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer 4.Were objective, standard criteria used for measurement of the condition? Yes/No/Unclear Evidence: justification, compare and contrasting or/and providing solution Critical appraisal questions Underline your answer PUBH6005_Assessment Brief 3 Page 1 of 8 ASSESSMENT BRIEF Subject Code and Title PUBH6005: Epidemiology Assessment Assessment 3: Critical Appraisal Individual/Group Individual Learning Outcomes This assessment addresses the following learning outcomes: 1. Assess levels of evidence and make recommendations 2. Interpret data arising from surveillance and research studies, including rates and ratios 3. Understand the difference between association and causation, statistical and public health significance 4. Critically evaluate epidemiological studies, including potential for bias, confounding and chance errors Submission Due Sunday following the end of week 11 at 11:55pm AEST/AEDT* Weighting 40% Total Marks 100 marks *Please Note: This time is Sydney time (AEST or AEDT). Please convert to your own time zone (eg. Adelaide = 11:25pm). PUBH6005_Assessment Brief 3 Page 2 of 8 Context: This assessment requires you to apply the knowledge and skills gained in all the modules to undertake a critical appraisal. You will need to appraise 3 articles of a topic and research question given to you by your facilitator. 1. Search the library database to find three studies that answer your research question. All three studies must be of different study designs. For instance, you could include case control, cohort and RCTs. These studies do not have to prove their hypothesis or agree with each other. Please note that marks will be deducted if all identified papers are of similar study. 2. Critically appraise all three articles you found. Your answers are to be written in
Answered Same DayApr 28, 2021PUBH6005Torrens University Australia

Answer To: Table 1 Cross-sectional study: (Insert the title of the paper you are appraising) Critical appraisal...

Anju Lata answered on May 02 2021
141 Votes
Running Head: Healthcare Associated Infections
Healthcare Associated Infections         2
SUBJECT: PUBH6005
ASSESSMENT 3: Critical Appraisal
SUBMITTED TO:
SUBMITTED BY:
CRITICAL APPRAISAL
TOPIC: HEALTHCARE ASSOCIATED INFECTIONS
Research Question: How can we assess the effectiveness of ongoing global interventions to prevent the healthcare associated Infections?
Objective: To evaluate the efficiency of interventions to prevent and control healthcare associated infections and associated disease burden.
Introduction
Healthcare Associated Infections (HAIs) are
the infections which are acquired by the patients during their hospital stay (Infection Prevention & Control Consortium Australia [IPCCA], 2017)
.They are also known as Nosocomical Infections and originate through infectious agents like bacteria, fungi, virus, or parasites. Every year more than 180000 patients get infected through HAIs, which prolongs their hospital stay and imposes additional burden of 2 million days of hospitalization over the healthcare system of Australia (Mitchell, Shaban & Macbeth,2017). Australia, on an average is exposed to more than 126 surgical site infections every year which costs greater than $5 million additional burden on the health care system (Australian Commission on Safety and Quality in Healthcare, 2019). Each year, more than 165,000 healthcare associated infections occur in Australia (Clinical Excellence Commission, 2019). Also, there is no national surveillance system in Australia, due to which there are issues in assessing and recording the disease burdens due to HAIs (Mitchell et al., 2017).
The study explored Google Scholar database to retrieve relevant journals over the topic of research. Out of fetched articles, I selected three peer reviewed journals for my critical appraisal. The three journals are: Randomized Control Trial, Cohort and Case Control Study.
Methods
The case control study performed by Lu et al.(2018) conducted a survey of a hospital at Sichuan Province in China. The research assessed the hospitalization costs and length of stay of the patients infected through HAIs, by collected data from Medical Insurance Reforms and prevalence Survey. The study evaluated the binary and continuous outcomes through Wilcoxon matched pairs signed rank tests and X2 test. The outcomes within the two groups were compared using Multiple Regression.
In Randomized Control Trial, European CDC method was used to conduct point prevalence study. The trial was organized in 19 Public sector hospitals for acute care. HAIs were assessed using standard algorithm in a two stage cluster. The data was sampled randomly for the inpatients admitted at the ICU wards and Acute wards.
The cohort study used non concurrent design to assess the length of hospital stay and increased risk factors for the mortality of inpatients. The incidence of lab based HAUTI was diagnosed for 4.5 years at large healthcare settings. The analysis of empirical data was done using IBM SPSS 2.0, with help of Charlson Comorbidity Index.
Results
Lu et al (2018) found that the HAIs at different sites of infection cause different level of burden over the economy. The case fatality rate, the length of stay and median cost of hospital admissions and stay was higher for the HAI patients than for non HAI patients. The study found significant difference in median between the matched pairs.
The study by Russo et al. (2019) showed the rate of prevalence of HAIs at hospitals ranges from 6% to 17%. The study found that the primary types of HAIs at the hospitals are urinary tract infection, pneumonia and infection of surgical site. These three types of HAIs together constitute 64% of HAIs. Around 10.3% patients also exhibited the presence of multidrug resistant pathogen.
The study by Mitchell et al (2016) found that the women were at greater risk of susceptibility to death due to Hospital Acquired Infections than the men. The infected patients were at greater risk of dying due to HAIs than the patients without any infection.78% of the HAI patients showed a high WBC count in urine (greater than 50 cells/ 106/ litre). Antimicrobial susceptibility was tested for the patienst having HAIs due to at least one pathogen. The study found that more than 3126 were accountable for causing the HAI infection among the inpatients. Out of these infections, 55% infections were caused by E.coli infection while the pathogens of Klebsiella species were attributed to causing 12.8% HAI infections.
Critical Appraisal of three articles as per the CASP checklist
    Table 1 Case control study: A multi-center nested case-control study on hospitalization costs and length of stay due to healthcare-associated infection
    Critical appraisal questions
    Underline your answer
    Did the study address a clearly focused issue?
    Yes/No/Unclear
    Evidence: The study evaluated the cost of hospitalization and length of stay at hospitals because of Healthcare Associated Infection on the basis of prevalence survey and reforms of china’s medical insurance. The study referred to preventive Action plan for HAIs conducted in China from 2012-2015. The measures in this action plan included departmental Organisation and management, hand hygiene, management of intubation associated infections, management of high risk departments, isolation, sterilization and disinfection, waste water management, hospital layout, workflow, medical waste and management of medical supplies and disinfection equipment. The cases were patients who were exposed to HAIs during the hospitalization. Just 10 cases were randomly selected on the basis of prevalence survey.
Through the study, the assessment identified that the costs of hospitalization...
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