Evidence map›Paper›PMID 25876516›Full record

ArticleHealth care management science2016

Assessing risk of hospital readmissions for improving medical practice.

Parimal Kulkarni, L Douglas Smith, Keith F Woeltje

Abstract read
PubMed Publisher
In one paragraph

Article in Health care management science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 25 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

3 authors at 2 institutions in 1 country.

Parimal KulkarniBJC HealthCare & University of Missouri-St. Louis, BJC Learning Institute, Ste 400A, St Louis, MO, 63144, USA. parimal.kulkarni@bjc.org.
L Douglas SmithCenter for Business and Industrial Studies, College of Business Administration, University of Missouri-St. Louis, St Louis, MO, 63121, USA.
Keith F WoeltjeBJC HealthCare & Washington University School of Medicine, Center for Clinical Excellence, BJC Learning Institute, Ste 400A, St Louis, MO, 63144, USA.
University of Missouri–St. Louis · USBJC HealthCare · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We compare statistical approaches for predicting the likelihood that individual patients will require readmission to hospital within 30 days of their discharge and for setting quality-control standards in that regard. Logistic regression, neural networks and decision trees are found to have comparable discriminating power when applied to cases that were not used to calibrate the respective models. Significant factors for predicting likelihood of readmission are the patient's medical condition upon admission and discharge, length (days) of the hospital visit, care rendered during the hospital stay, size and role of the medical facility, the type of medical insurance, and the environment into which the patient is discharged. Separately constructed models for major medical specialties (Surgery/Gynecology, Cardiorespiratory, Cardiovascular, Neurology, and Medicine) can improve the ability to identify high-risk patients for possible intervention, while consolidated models (with indicator variables for the specialties) can serve well for assessing overall quality of care.

Indexed as

AgedAge FactorsDecision TreesEnvironmentHospital Bed CapacityHumansInsurance, HealthLength of StayLogistic ModelsMedicineMiddle AgedNeural Networks, ComputerPatient DischargePatient ReadmissionRisk AssessmentRisk FactorsDecision treesHealthcare analyticsNeural networksReadmissionsRegression

Identifiers

PMID25876516
OpenAlexW2010623754

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.