Evidence map›Paper›PMID 23117271›Full record

ArticleAmerican journal of physical medicine & rehabilitation2013

Factors associated with total inpatient costs and length of stay during surgical hospitalization among veterans who underwent lower extremity amputation.

Jibby E Kurichi, W Bruce Vogel, Pui L Kwong, Dawei Xie, Barbara E Bates, Margaret G Stineman

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of physical medicine & rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03913273 (Agonist-Antagonist Myoneural Interface for Functional Limb Restoration After Transtibial Amputation), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT03913273 nacompletednot on this mapstarted 2019, after this paper: background citation

Agonist-Antagonist Myoneural Interface for Functional Limb Restoration After Transtibial Amputation

TypeinterventionalSponsorMassachusetts Institute of TechnologyRan2019 to 2025Enrolled14ConditionsAmputationArmsAMI transtibial amputation, Standard transtibial amputation
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
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  9. Article
  10. Article
  11. Observational
  12. Epidemiology of limb loss.Physical medicine and rehabilitation clinics of North America · 2014
    Review
  13. Discharge Disposition After Limb Amputation in a Publicly Funded Health Care System.Inquiry : a journal of medical care organization, provision and financing
    Article
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 2 institutions in 1 country.

Jibby E KurichiCenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA, USA.
W Bruce Vogel
Pui L Kwong
Dawei Xie
Barbara E Bates
Margaret G Stineman
Philadelphia University · USUniversity of Pennsylvania · US

Funding

DO AMPUTEES BENEFIT FROM REHABILITATION SERVICES?R01HD042588 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI KIMMEL, STEPHEN E. · 2003 to 2012
$2.8M
NICHD NIH HHS R01 HD042588NICHD NIH HHS R01-HD042588-05A2
6 · The paper itself

Abstract

objectiveThe aim of this study was to identify patient- and facility-level factors associated with total inpatient costs and length of stay (LOS) among veterans who underwent lower extremity amputation.

designPatient data for 1536 veterans were compiled from nine databases from the Veterans Health Administration between October 1, 2002, and September 30, 2003. Linear mixed models were used to identify the factors associated with the natural logarithm of total inpatient costs and LOS.

resultsStatistically significant factors associated with both higher total inpatient costs and longer LOS included admission by transfer from another hospital, systemic sepsis, arrhythmias, chronic blood loss anemia, fluid and electrolyte disorders, weight loss, specialized inpatient rehabilitation, and higher hospital bed counts. Device infection, coagulopathy, solid tumor without metastasis, Commission on Accreditation of Rehabilitation Facilities accreditation, and the Medicare Wage Index were associated with only higher total inpatient costs. The factors associated with only longer LOS included older age, not being married, previous amputation complication, congestive heart failure, deficiency anemias, and paralysis.

conclusionsMost drivers of total inpatient costs were similar to those that increased LOS, with a few exceptions. These findings may have implications for projecting future healthcare costs and thus could be important in efforts to reducing costs, understanding LOS, and refining payment and budgeting policies.

Indexed as

VeteransAccreditationAgedAmputation, SurgicalAnemiaArrhythmias, CardiacDatabases, FactualDisseminated Intravascular CoagulationFemaleHospital Bed CapacityHospital CostsHumansLength of StayLower ExtremityMaleMarital Status

Identifiers

PMID23117271
PMCPMC3601547
OpenAlexW241609202

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.