ArticleJournal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
Predicting improvement in urinary and bowel incontinence for home health patients using electronic health record data.
Article in Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Secondary use of standardized nursing care data for advancing nursing science and practice: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Opportunities and challenges in developing risk prediction models with electronic health records data: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Evidence of Progress in Making Nursing Practice Visible Using Standardized Nursing Data: a Systematic Review.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Pooled it
- The Omaha System: a systematic review of the recent literature.Journal of the American Medical Informatics Association : JAMIAPooled it
- Conducting a representative national randomized control trial of tailored clinical decision support for nurses remotely: Methods and implications.Contemporary clinical trials · 2022Trial
- Standardizing nursing data extracted from electronic health records for integration into a statewide clinical data research network.International journal of medical informatics · 2024Article
- Secondary Data Analysis in Nursing Research: A Contemporary Discussion.Clinical nursing research · 2020Article
- Clinical Data Reuse or Secondary Use: Current Status and Potential Future Progress.Yearbook of medical informatics · 2017Review
- Risk Factors for All-Cause Rehospitalization Among Medicare Recipients with Heart Failure Receiving Telehomecare.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017Article
- Utilizing Home Healthcare Electronic Health Records for Telehomecare Patients With Heart Failure: A Decision Tree Approach to Detect Associations With Rehospitalizations.Computers, informatics, nursing : CIN · 2016Article
- Infection in home health care: Results from national Outcome and Assessment Information Set data.American journal of infection control · 2015Article
- Article
- Data mining nursing care plans of end-of-life patients: a study to improve healthcare decision making.International journal of nursing knowledge · 2013Article
- Maintaining a consistent big picture: meaningful use of a Web-based POC EHR system.International journal of nursing knowledge · 2012Article
- Exploring the value of clinical data standards to predict hospitalization of home care patients.Applied clinical informatics · 2012Article
- Analysis of free text with omaha system targets in community-based care to inform practice and terminology development.Applied clinical informatics · 2011Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe purpose of the study was to discover which patient and support system characteristics and interventions documented by home health clinicians were associated with improvement in urinary and bowel incontinence contrasting logistic regression and data mining approaches. SUBJECTS AND
settingSeventeen hundred ninety-three patients in this study experienced 2072 episodes of care. The study sample comprised all nonmaternity patients aged 18 years or older receiving skilled home health services in 2004. Subjects were drawn from a convenience sample of 15 home health agencies .
designWe completed a secondary analysis of data from 15 home health agencies' electronic health records. Data for this study were documented by home care clinicians using the Outcome and Assessment Information Set (OASIS) structured assessment form and the Omaha System interventions, which is a standardized terminology.
resultsThere were 684 patients with urinary incontinence and 187 with bowel incontinence. By discharge 38% improved in urinary incontinence and 45% improved their bowel incontinence. Using logistic regression, no patient or support system characteristics were identified that associated with improvement in either urinary or bowel incontinence, only a limited number of interventions were significant. A data mining decision tree was producible only for bowel incontinence, demonstrating a combination of patient and support system factors as well as selected interventions were important in determining whether patients would improve in bowel incontinence.
conclusionsHome health patients have complex comorbid conditions requiring home care nurses to have broad, generalized knowledge. Future research is needed to determine if the inclusion of a certified WOC nurse would improve outcomes.
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Registered trials
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.