Evidence map›Paper›PMID 23508735›Full record

ArticleInternal and emergency medicine2013

Application of appropriateness criteria for hospitalization in COPD exacerbation.

Susana Garcia-Gutierrez, José M Quintana, Irantzu Barrio, Marisa Bare, Nerea Fernandez, Silvia Vidal, Nerea Gonzalez, Iratxe Lafuente, Edurne Arteta, Cristóbal Esteban and 2 more

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Internal and emergency medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02434536 (Assessment of the Appropriateness Admission From Emergency Departments in the Exacerbation of COPD. Validity of Explicit Criteria and Study of the Variability Between Different Centers of NHS. Multicenter Study IRYSS-Appropriateness-COPD.), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 20% 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.

NCT02434536 completednot on this map

Assessment of the Appropriateness Admission From Emergency Departments in the Exacerbation of COPD. Validity of Explicit Criteria and Study of the Variability Between Different Centers of NHS. Multicenter Study IRYSS-Appropriateness-COPD.

Typeobservational_patient_registrySponsorHospital Galdakao-UsansoloRan2006 to 2010Enrolled2,487ConditionsCOPD
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Examining 30-day COPD readmissions through the emergency department.International journal of chronic obstructive pulmonary disease · 2018
    Article
  3. Article
  4. The causes and consequences of seasonal variation in COPD exacerbations.International journal of chronic obstructive pulmonary disease · 2014
    Review
  5. Article
  6. 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

12 authors at 3 institutions in 1 country.

Susana Garcia-GutierrezUnidad de Investigación, Hospital Galdakao-Usansolo, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barrio Labeaga s/n, 48960, Galdakao, Vizcaya, Spain. susana.garciagutierrez@osakidetza.net
José M Quintana
Irantzu Barrio
Marisa Bare
Nerea Fernandez
Silvia Vidal
Nerea Gonzalez
Iratxe Lafuente
Edurne Arteta
Cristóbal Esteban
Esther Pulido
IRYSS-COPD Appropriateness Study (IRYSS-CAS) group
Hospital de Galdakao · ESCentro de Investigación Biomédica en Red · ESHospital Universitario de Valme · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The IRYSS-COPD appropriateness study was developed in 16 hospitals belonging to the Spanish National Health Service from June 2008 to September 2010 (n = 2,877). The objectives were to apply a set of explicit criteria for the appropriateness of hospital admission created by the RAND/UCLA methodology to patients evaluated in the emergency department (ED) for exacerbations of COPD. This is a prospective cohort study. We explored the relationship between appropriateness of admission as defined by the explicit criteria and the final decision to admit or discharge. A total of 2,877 patients were included for analysis; of these, 1,747 (60.7 %) were admitted and 1,130 (39.3 %) were discharged from the ED to home. Among patients classified by the explicit criteria as appropriate for hospital admission, 81.3 % were admitted, compared with 64.81 % of those classified as uncertain and 48.65 % of those classified as inappropriate for admission. Severity of exacerbation was the most influencing variable in the decision. Application of our explicit criteria for appropriate hospital admission among a large sample of patients experiencing an exacerbation of COPD in the ED setting suggests that these criteria could be used as the basis for clinical decision-making and health-care assessment.

Indexed as

Decision MakingHospitalizationAgedFemaleHospital MortalityHumansMaleOutcome Assessment, Health CareProspective StudiesPulmonary Disease, Chronic ObstructiveRespiratory Function TestsSpain

Identifiers

PMID23508735
OpenAlexW2072406506

What OpenQuestion holds

Textmetadata
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.