Evidence map›Paper›PMID 24551355›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2013

Potential value of health information exchange for people with epilepsy: crossover patterns and missing clinical data.

Zachary M Grinspan, Erika L Abramson, Samprit Banerjee, Lisa M Kern, Rainu Kaushal, Jason S Shapiro

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Identifying homelessness using health information exchange data.Journal of the American Medical Informatics Association : JAMIA · 2015
    Article
  7. Article
  8. 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.

Zachary M GrinspanCenter for Healthcare Informatics and Policy, Weill Cornell Medical College, New York, NY ; Department of Public Health, Weill Cornell Medical College, New York, NY ; Department of Pediatrics, Weill Cornell Medical College, New York, NY ; New York Presbyterian Hospital, New York, NY.
Erika L AbramsonCenter for Healthcare Informatics and Policy, Weill Cornell Medical College, New York, NY ; Department of Public Health, Weill Cornell Medical College, New York, NY ; Department of Pediatrics, Weill Cornell Medical College, New York, NY ; New York Presbyterian Hospital, New York, NY ; Health Information Technology Evaluation Collaborative, New York, NY.
Samprit BanerjeeDepartment of Public Health, Weill Cornell Medical College, New York, NY ; Department of Statistical Science, Cornell University, Ithaca, NY.
Lisa M KernCenter for Healthcare Informatics and Policy, Weill Cornell Medical College, New York, NY ; Department of Public Health, Weill Cornell Medical College, New York, NY ; New York Presbyterian Hospital, New York, NY ; Health Information Technology Evaluation Collaborative, New York, NY ; Department of Medicine, Weill Cornell Medical College, New York, NY.
Rainu KaushalCenter for Healthcare Informatics and Policy, Weill Cornell Medical College, New York, NY ; Department of Public Health, Weill Cornell Medical College, New York, NY ; Department of Pediatrics, Weill Cornell Medical College, New York, NY ; New York Presbyterian Hospital, New York, NY ; Health Information Technology Evaluation Collaborative, New York, NY ; Department of Medicine, Weill Cornell Medical College, New York, NY.
Jason S ShapiroDepartment of Emergency Medicine, Mount Sinai Medical Center, New York, NY.

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024996 · NCRR · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2007 to 2011
$49.6M
WCMC Child Neurology Postdoctoral Training on Developmental NeurosciencesK12NS066274 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI KOSOFSKY, BARRY E · 2010 to 2019
$2.8M
MOLECULAR MECHANISMS IN EXCITABLE MEMBRANESK04NS000662 · NINDS · UNIVERSITY OF CALIFORNIA IRVINE · PI CAHALAN, MICHAEL D · 1985 to 1985
–
NCRR NIH HHS UL1 RR024996NCRR NIH HHS UL1-RR024996NINDS NIH HHS K12-NS0662NINDS NIH HHS K12 NS066274
6 · The paper itself

Abstract

contextFor people with epilepsy, the potential value of health information exchange (HIE) is unknown.

methodsWe reviewed two years of clinical encounters for 8055 people with epilepsy from seven Manhattan hospitals. We created network graphs illustrating crossover among these hospitals for multiple encounter types, and calculated a novel metric of care fragmentation: "encounters at risk for missing clinical data."

resultsGiven two hospitals, a median of 109 [range 46 - 588] patients with epilepsy had visited both. Due to this crossover, recent, relevant clinical data may be missing at the time of care frequently (44.8% of ED encounters, 34.5% inpatient, 24.9% outpatient, and 23.2% radiology). Though a smaller percentage of outpatient encounters were at risk for missing data than ED encounters, the absolute number of outpatient encounters at risk was three times higher (14,579 vs. 5041).

conclusionPeople with epilepsy may benefit from HIE. Future HIE initiatives should prioritize outpatient access.

Indexed as

EpilepsyMedical Record LinkageContinuity of Patient CareElectronic Health RecordsHealth Information ManagementHospital Information SystemsHumansInformation DisseminationMedical Records Systems, ComputerizedNew York City

Identifiers

PMID24551355
PMCPMC3900196

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.