ArticleJournal of the American Medical Informatics Association : JAMIA
The impact of electronic health records on care of heart failure patients in the emergency room.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled 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.
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
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Effect of electronic records on mortality among patients in hospital and primary healthcare settings: a systematic review and meta-analyses.Frontiers in digital health · 2024Pooled it
- Trial
- [Information on medical history in the emergency department : Influence on therapy and diagnostic decisions].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Observational
- The Impact of an Enterprise Electronic Medical Record (EEMR) Model vs a Clinical Information System (CIS) Model on Usability, Efficiency, and Adaptability.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
- Impact of Health Information Exchange on Emergency Medicine Clinical Decision Making.The western journal of emergency medicine · 2015Observational
- The impact of electronic health records on people with diabetes in three different emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2014Article
- Care everywhere, a point-to-point HIE tool: utilization and impact on patient care in the ED.Applied clinical informatics · 2014Article
- Electronic health records-driven phenotyping: challenges, recent advances, and perspectives.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- Using electronic medical record systems for admission decisions in emergency departments: examining the crowdedness effect.Journal of medical systems · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 3 countries.
Funding
Abstract
objectiveTo evaluate if electronic health records (EHR) have observable effects on care outcomes, we examined quality and efficiency measures for patients presenting to emergency departments (ED). MATERIALS AND
methodsWe conducted a retrospective study of 5166 adults with heart failure in three metropolitan EDs. Patients were termed internal if prior information was in the EHR upon ED presentation, otherwise external. Associations of internality with hospitalization, mortality, length of stay (LOS), and numbers of tests, procedures, and medications ordered in the ED were examined after adjusting for age, gender, race, marital status, comorbidities and hospitalization as a proxy for acuity level where appropriate.
resultsAt two EDs internals had lower odds of mortality if hospitalized (OR 0.55; 95% CI 0.38 to 0.81 and 0.45; 0.21 to 0.96), fewer laboratory tests during the ED visit (-4.6%; -8.9% to -0.1% and -14.0%; -19.5% to -8.1%) as well as fewer medications (-33.6%; -38.4% to -28.4% and -21.3%; -33.2% to -7.3%). At one of these two EDs, internals had lower odds of hospitalization (0.37; 0.22 to 0.60). At the third ED, internal patients only experienced a prolonged ED LOS (32.3%; 6.3% to 64.8%) but no other differences. There was no association with hospital LOS or number of procedures ordered. DISCUSSION: EHR availability was associated with salutary outcomes in two of three ED settings and prolongation of ED LOS at a third, but evidence was mixed and causality remains to be determined.
conclusionsAn EHR may have the potential to be a valuable adjunct in the care of heart failure patients.
Indexed as
Identifiers
What OpenQuestion holds
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.