Evidence map›Paper›PMID 24479078›Full record

ArticleJournal of family medicine and primary care2013

Polypharmacy and potentially inappropriate medication use as the precipitating factor in readmissions to the hospital.

Vishal Sehgal, Sukhminder Jit Singh Bajwa, Rinku Sehgal, Anurag Bajaj, Upinder Khaira, Victoria Kresse

Open access · goldAbstract read
In one paragraph

Article in Journal of family medicine and primary care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
5.6field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 105 citations in OpenAlex.

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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 3 institutions in 2 countries.

Vishal SehgalDepartment of Medicine The Commonwealth Medical College, Scranton, USA.
Sukhminder Jit Singh BajwaGian Sagar Medical College Patiala, Punjab, India.
Rinku SehgalWright Center Graduate Medical Education, Scranton, USA.
Anurag BajajWright Center Graduate Medical Education, Scranton, USA.
Upinder KhairaWright Center Graduate Medical Education, Scranton, USA.
Victoria KresseMS PA-C Marywood University scranton PA, USA.
Commonwealth Medical College · USGian Sagar Medical College and Hospital · INMarywood University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimReadmission to the hospital within 30 days of discharge from the hospital is a common occurrence. Congestive heart failure is the most common cause of readmissions in the hospital. We hypothesized that irrespective of the admission diagnosis polypharmacy and potentially inappropriate use of medications (PIM) leads to readmissions within 30 days of discharge from the hospital. MATERIALS AND

methodsA retrospective study was carried out by reviewing the hospital records of 414 patients who were readmitted to the hospital within 30 days of discharge from the hospital between January 2008 and December 2009. The data was stratified to see which patients were on polypharmacy and/or on PIM. Polypharmacy was defined as use of more than 5 medications. PIM was defined as per the modified Beers criteria. Day 0 was defined as the day of discharge and day1 was defined as the day-after Admission to the hospital. Statistical analysis was carried out using a two-way analysis of variance (ANOVA) on the data to see if polypharmacy and/or PIM was related to readmission within 30 days of discharge irrespective of admission diagnosis.

resultsPolypharmacy was related to hospital readmission at day 1 and day 0, however inappropriate drug use was found to be not related at any day. Polypharmacy and PIM combined had a positive correlation to readmission only on days 1 and 0 and it was statistically significant. The use of minimal and appropriate use of drugs was statistically significant compared to polypharmacy and PIM use.

conclusionsPolypharmacy and PIM are under recognized cause of readmissions to the hospital.

Indexed as

Adverse drug reactionsBeer's Criteriageriatric populationpolypharmacypotentially inappropriate medicationsreadmission

Identifiers

PMID24479078
PMCPMC3894035
OpenAlexW2051667750

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.