Risk-adjusted monitoring of blood-stream infection in paediatric intensive care: a data linkage study.

Harron K, Wade A, Muller-Pebody B, Goldstein H, Parslow R, Gray J, Hartley JC, Mok Q, Gilbert R.

Intensive Care Med. 2013 Jun;39(6):1080-7.

National monitoring of variation in the quality of infection control in paediatric intensive care units (PICUs) requires comparisons of risk-adjusted rates. To inform the development of a national monitoring system, we evaluated the effects of risk-adjustment and outcome definition on comparisons of blood-stream infection (BSI) rates in PICU, using linkage of risk-factor data captured by national audit (PICANet) with laboratory records of BSI.