Evidence map›Paper›PMID 19886100›Full record

ArticleClinical medicine (London, England)2009

Factors influencing hospital readmission rates after acute medical treatment.

Z Shalchi, S Saso, H K Li, E Rowlandson, R C Tennant

Abstract readCase Reports
In one paragraph

Article in Clinical medicine (London, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Proportion of hospital readmissions deemed avoidable: a systematic review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011
    Pooled it
  3. Feasibility and evaluation of a pilot community health worker intervention to reduce hospital readmissions.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014
    Trial
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Current Trends in Readmission Prediction: An Overview of Approaches.Arabian journal for science and engineering · 2021
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Z ShalchiAcute Medical Assessment Unit, Northwick Park Hospital, North West London Hospitals NHS Trust, Middlesex.
S Saso
H K Li
E Rowlandson
R C Tennant

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is a concern that increasing pressure to diagnose, treat and discharge patients rapidly is leading to unacceptably high readmission rates. Readmissions were studied over a two-month period. Patients were identified through the hospital coding system, and electronic discharge summaries provided details of each admission. In total, 69 readmissions were identified, representing 4.34% of medical admissions. Readmitted patients were older than those with single admissions (median age 75 and 71 years, respectively; p < 0.05). Initial length of stay was greater in those patients who would go on to be readmitted (median six days; single admission, two days; p < 0.0001). Seventy-one per cent of readmissions were deemed avoidable, with discharge before conclusive therapy being the leading factor implicated (56%). Readmission is more likely in older patients with complex care needs. Rapid throughput of patients is not associated with readmission. The majority of readmissions can potentially be avoided with judicious medical care.

Indexed as

Emergency Medical ServicesMedical ErrorsAdolescentAdultAgedAged, 80 and overCohort StudiesFemaleHealth StatusHumansLength of StayMaleMiddle AgedPatient ReadmissionRetrospective StudiesRisk Factors

Identifiers

PMID19886100
PMCPMC4953449

What OpenQuestion holds

Textmetadata
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.