Evidence map›Paper›PMID 19682102›Full record

ArticleHIV medicine2010

Emergency department utilization among HIV-infected patients in a multisite multistate study.

J S Josephs, J A Fleishman, P T Korthuis, R D Moore, K A Gebo, HIV Research Network

Abstract readMulticenter Study
In one paragraph

Article in HIV medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Categorizing Comorbid Risk for People Living With HIV: A Latent Profile Analysis.Journal of acquired immune deficiency syndromes (1999) · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Emergency department use among HIV-infected released jail detainees.Journal of urban health : bulletin of the New York Academy of Medicine · 2015
    Article
  14. Article
  15. Patient demographic and health factors associated with frequent use of emergency medical services in a midsized city.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2013
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

J S JosephsDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J A Fleishman
P T Korthuis
R D Moore
K A Gebo
HIV Research Network
Johns Hopkins Medicine · USAgency for Healthcare Research and Quality · USJohns Hopkins University · USOregon Health & Science University · US

Funding

Quality Outcomes for Patients with Drug Abuse and HIVK23DA019809 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KORTHUIS, PHILIP TODD · 2007 to 2011
$892k
IMPROVING HEALTH CARE UTILIZATION IN HIV+ DRUG USERSK23DA000523 · NIDA · JOHNS HOPKINS UNIVERSITY · PI GEBO, KELLY A · 2001 to 2005
$794k
CLINICAL OUTCOMES IN ELDERLY HIV PATIENTSR01AG026250 · NIA · JOHNS HOPKINS UNIVERSITY · PI GEBO, KELLY A · 2006 to 2007
$197k
NIA NIH HHS R01 AG026250NIDA NIH HHS K23 DA000523NIDA NIH HHS K23-DA00523NIDA NIH HHS K23 DA019809
6 · The paper itself

Abstract

objectiveThe aim of this study was to examine Emergency Department (ED) utilization and clinical and sociodemographic correlates of ED use among HIV-infected patients.

methodsDuring 2003, 951 patients participated in face-to-face interviews at 14 HIV clinics in the HIV Research Network. Respondents reported the number of ED visits in the preceding 6 months. Using logistic regression, we identified factors associated with visiting the ED in the last 6 months and admission to the hospital from the ED.

resultsThirty-two per cent of respondents reported at least one ED visit in the last 6 months. In multivariate analysis, any ED use was associated with Medicaid insurance, high levels of pain (the third or fourth quartile), more than seven primary care visits in the last 6 months, current or former illicit drug use, social alcohol use and female gender. Of those who used ED services, 39% reported at least one admission to the hospital. Patients with pain in the highest quartile reported increased admission rates from the ED as did those who made six or seven primary care visits, or more than seven primary care visits vs. three or fewer.

conclusionsThe likelihood of visiting the ED has not diminished since the advent of highly active antiretroviral therapy (HAART). More ED visits are to treat illnesses not related to HIV or injuries than to treat direct sequelae of HIV infection. With the growing prevalence of people living with HIV infection, the numbers of HIV-infected patients visiting the ED may increase, and ED providers need to understand potential complications produced by HIV disease.

Indexed as

AdolescentAdultAntiretroviral Therapy, Highly ActiveCross-Sectional StudiesEmergency Service, HospitalFemaleHIV InfectionsHIV Long-Term SurvivorsHospitalizationHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPatient Acceptance of Health CareSocioeconomic Factors

Identifiers

PMID19682102
PMCPMC3073084
OpenAlexW1505577801

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.