ArticleJournal of the American Geriatrics Society2013
Does reducing length of stay increase rehospitalization of medicare fee-for-service beneficiaries discharged to skilled nursing facilities?
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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
15 citing papers in PubMed.
- Health systems' use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Adoption of Health Information Technology Among US Nursing Facilities.Journal of the American Medical Directors Association · 2019Article
- Effects of Medicare Medical Reviews on Ambiguous Short-Stay Hospital Admissions.Health services research · 2018Observational
- Medicare Advantage enrollees' use of nursing homes: trends and nursing home characteristics.The American journal of managed care · 2018Article
- Hospital participation in Meaningful Use and racial disparities in readmissions.The American journal of managed care · 2018Article
- Article
- Hospitalization event notifications and reductions in readmissions of Medicare fee-for-service beneficiaries in the Bronx, New York.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- A novel organizational model to face the challenge of multimorbid elderly patients in an internal medicine setting: a case study from Parma Hospital, Italy.Internal and emergency medicine · 2016Article
- Does More Therapy in Skilled Nursing Facilities Lead to Better Outcomes in Patients With Hip Fracture?Physical therapy · 2016Article
- Integrated Medicare and Medicaid managed care and rehospitalization of dual eligibles.The American journal of managed care · 2015Article
- What happens to patients when they fracture their hip during a skilled nursing facility stay?Journal of the American Medical Directors Association · 2015Article
- Effectiveness of an intermediate care hospital on readmissions, mortality, activities of daily living and use of health care services among hospitalized adults aged 60 years and older--a controlled observational study.BMC health services research · 2015Observational
- Waiving the three-day rule: admissions and length-of-stay at hospitals and skilled nursing facilities did not increase.Health affairs (Project Hope) · 2015Article
- Influence of hospital and nursing home quality on hospital readmissions.The American journal of managed care · 2014Article
- Trends in Medical and Surgical Admission Length of Stay by Race/Ethnicity and Socioeconomic Status: A Time Series Analysis.Health services research and managerial epidemiologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectivesTo analyze the relationship between length of stay and rehospitalization.
designRetrospective cohort study.
settingSix thousand five hundred thirty-seven hospitals nationwide from January 1999 through September 2005.
participantsMedicare fee-for-service beneficiaries associated with 2,101,481 hospitalizations. MEASUREMENTS: Thirty-day rehospitalization derived from Medicare hospital claims using the implementation of Medicare's post-acute care transfer policy as a quasi-experiment.
resultsMedicare's post-acute care transfer policy led to immediate declines in length of stay. A 1-day decrease in length of stay was associated with an absolute increase in 30-day rehospitalization of 1.56 percentage points (95% confidence interval (CI) = 0.30-2.82) for acute myocardial infarction (AMI) with major complications and 0.81 percentage points (95% CI = 0.03-1.60) for kidney infection or urinary tract infection (UTI) without major complications. Individuals hospitalized for AMI without major complications, heart failure, or kidney infection or UTI with major complications had no increase in 30-day rehospitalization.
conclusionA 1-day reduction in hospital length of stay was not consistently associated with a higher rate of rehospitalization.
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.