Evidence map›Paper›PMID 25393305›Full record

ArticlePloS one2014

Risk prediction of emergency department revisit 30 days post discharge: a prospective study.

Shiying Hao, Bo Jin, Andrew Young Shin, Yifan Zhao, Chunqing Zhu, Zhen Li, Zhongkai Hu, Changlin Fu, Jun Ji, Yong Wang and 9 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Real-Time Emergency Department Electronic Notifications Regarding High-Risk Patients: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 2 countries.

Shiying HaoHBI Solutions Inc., Palo Alto, California, United States of America; Department of Surgery, Stanford University, Stanford, California, United States of America.
Bo JinHBI Solutions Inc., Palo Alto, California, United States of America.
Andrew Young ShinDepartment of Pediatrics, Stanford University, Stanford, California, United States of America.
Yifan ZhaoHBI Solutions Inc., Palo Alto, California, United States of America.
Chunqing ZhuHBI Solutions Inc., Palo Alto, California, United States of America.
Zhen LiDepartment of Surgery, Stanford University, Stanford, California, United States of America.
Zhongkai HuHBI Solutions Inc., Palo Alto, California, United States of America.
Changlin FuHBI Solutions Inc., Palo Alto, California, United States of America.
Jun JiHBI Solutions Inc., Palo Alto, California, United States of America.
Yong WangDepartment of Statistics, Stanford University, Stanford, California, United States of America; Academy of Mathematics and Systems Science, Chinese Academy of Sciences, Beijing, China.
Yingzhen ZhaoDepartment of Surgery, Stanford University, Stanford, California, United States of America.
Dorothy DaiHBI Solutions Inc., Palo Alto, California, United States of America.
Devore S CulverHealthInfoNet, Portland, Maine, United States of America.
Shaun T AlfredsHealthInfoNet, Portland, Maine, United States of America.
Todd RogowHealthInfoNet, Portland, Maine, United States of America.
Frank StearnsHBI Solutions Inc., Palo Alto, California, United States of America.
Karl G SylvesterDepartment of Surgery, Stanford University, Stanford, California, United States of America.
Eric WidenHBI Solutions Inc., Palo Alto, California, United States of America.
Xuefeng B LingDepartment of Surgery, Stanford University, Stanford, California, United States of America.
Stanford University · USLifenet Health · USAcademy of Mathematics and Systems Science · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmong patients who are discharged from the Emergency Department (ED), about 3% return within 30 days. Revisits can be related to the nature of the disease, medical errors, and/or inadequate diagnoses and treatment during their initial ED visit. Identification of high-risk patient population can help device new strategies for improved ED care with reduced ED utilization. METHODS AND

findingsA decision tree based model with discriminant Electronic Medical Record (EMR) features was developed and validated, estimating patient ED 30 day revisit risk. A retrospective cohort of 293,461 ED encounters from HealthInfoNet (HIN), Maine's Health Information Exchange (HIE), between January 1, 2012 and December 31, 2012, was assembled with the associated patients' demographic information and one-year clinical histories before the discharge date as the inputs. To validate, a prospective cohort of 193,886 encounters between January 1, 2013 and June 30, 2013 was constructed. The c-statistics for the retrospective and prospective predictions were 0.710 and 0.704 respectively. Clinical resource utilization, including ED use, was analyzed as a function of the ED risk score. Cluster analysis of high-risk patients identified discrete sub-populations with distinctive demographic, clinical and resource utilization patterns.

conclusionsOur ED 30-day revisit model was prospectively validated on the Maine State HIN secure statewide data system. Future integration of our ED predictive analytics into the ED care work flow may lead to increased opportunities for targeted care intervention to reduce ED resource burden and overall healthcare expense, and improve outcomes.

Indexed as

Emergency Medical ServicesMedical Records Systems, ComputerizedModels, TheoreticalFemaleHumansMaineMaleProspective StudiesRetrospective StudiesRisk FactorsTime Factors

Identifiers

PMID25393305
PMCPMC4231082
OpenAlexW2135620863

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.