Evidence map›Paper›PMID 25691236›Full record

Observational studyJournal of general internal medicine2015

Functional Status and Hospital Readmissions Using the Medical Expenditure Panel Survey.

Marina Soley-Bori, Rene Soria-Saucedo, Colleen M Ryan, Jeffrey C Schneider, Alex B Haynes, Paul Gerrard, Howard J Cabral, Keith D Lillemoe, Lewis E Kazis

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
11.0field-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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Utility of Functional Metrics Assessed During Acute Care on Hospital Outcomes: A Systematic Review.PM & R : the journal of injury, function, and rehabilitation · 2019
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  9. The predictive ability of EQ-5D-3L compared to the LACE index and its association with 30-day post-hospitalization outcomes.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
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  17. Racial/Ethnic Disparities in Readmissions in US Hospitals: The Role of Insurance Coverage.Inquiry : a journal of medical care organization, provision and financing
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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

9 authors at 4 institutions in 1 country.

Marina Soley-BoriCenter for the Assessment of Pharmaceutical Practices (CAPP), Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA.
Rene Soria-Saucedo
Colleen M Ryan
Jeffrey C Schneider
Alex B Haynes
Paul Gerrard
Howard J Cabral
Keith D Lillemoe
Lewis E Kazis
Boston University · USMassachusetts General Hospital · USBrigham and Women's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital readmissions are expensive and they may signal poor quality of care. Whether functional status is related to hospital readmissions using a representative U.S sample remains unexplored .

objectiveWe aimed to assess the relationship between functional status and all-cause 30-day hospital readmissions using a representative sample of the US population.

designThis was a retrospective observational study (2003-2011). PATIENTS: The study included 3,772 patients who completed the SF-12 before being hospitalized. Three hundred and eighteen (8.4%) were readmitted within 30 days after being discharged. MEASUREMENTS: The Medical Expenditure Panel Survey (MEPS) was employed. Functional status was measured with the Short-Form 12-Item Health Survey Version 2® (SF-12). The probability of being readmitted was estimated using a logistic model controlling for demographic characteristics, comorbid conditions, insurance coverage, physical (PCS) and mental (MCS) summaries of the SF-12, reason for hospitalization, length of hospital stay, region, and residential area.

resultsA one-unit difference in PCS reduced the odds of readmission by 2% (odds ratio 0.98 [95% CI, 0.97 to 0.99]; p < 0.001), which implies an 18% reduction in the odds of readmissions for a ten-unit difference (one standard deviation) in PCS. The c-statistic of the model was 0.72.

conclusionBaseline physical function is associated with hospital readmissions. The SF-12 improves the ability to identify patients at high risk of hospital readmission.

Indexed as

Health StatusPhysical FitnessAdolescentAdultAgedComorbidityFemaleHealth ExpendituresHealth Status IndicatorsHospitalizationHumansLength of StayMaleMiddle AgedPatient ReadmissionRetrospective Studies

Identifiers

PMID25691236
PMCPMC4471038
OpenAlexW2036876891

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.