Evidence map›Paper›PMID 25986139›Full record

ArticleJournal of general internal medicine2015

Hospitalization-Associated Disability in Adults Admitted to a Safety-Net Hospital.

Anna H Chodos, Margot B Kushel, S Ryan Greysen, David Guzman, Eric R Kessell, Urmimala Sarkar, L Elizabeth Goldman, Jeffrey M Critchfield, Edgar Pierluissi

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article 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 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
1.3field-weighted citation impact, top 20% 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

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Prevalence of Hospital-Associated Disability in Older Adults: A Meta-analysis.Journal of the American Medical Directors Association · 2020
    Pooled it
  4. Pooled it
  5. Trial
  6. Optimizing temporal windows for wearable-augmented post-discharge risk prediction: a methods study.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
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  10. Trends in UropathogenicOpen forum infectious diseases · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Research progress in the hospitalization-associated disability among elderly patients.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  17. Exploring the perspectives of clinicians on solutions to tackling physical inactivity and sedentary behaviour in older hospital patients.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2023
    Article
  18. Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Anna H ChodosDivision of General Internal Medicine, University of California, San Francisco/San Francisco General Hospital and Trauma Center, 1001 Potrero Avenue, Box 1364, San Francisco, 94143, CA, USA. anna.chodos@ucsf.edu.
Margot B KushelDivision of General Internal Medicine, University of California, San Francisco/San Francisco General Hospital and Trauma Center, 1001 Potrero Avenue, Box 1364, San Francisco, 94143, CA, USA.
S Ryan GreysenDivision of Hospital Medicine, University of California, San Francisco, San Francisco, CA, USA.
David GuzmanDivision of General Internal Medicine, University of California, San Francisco/San Francisco General Hospital and Trauma Center, 1001 Potrero Avenue, Box 1364, San Francisco, 94143, CA, USA.
Eric R KessellDivision of Hospital Medicine, University of California, San Francisco/San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
Urmimala SarkarDivision of General Internal Medicine, University of California, San Francisco/San Francisco General Hospital and Trauma Center, 1001 Potrero Avenue, Box 1364, San Francisco, 94143, CA, USA.
L Elizabeth GoldmanDivision of General Internal Medicine, University of California, San Francisco/San Francisco General Hospital and Trauma Center, 1001 Potrero Avenue, Box 1364, San Francisco, 94143, CA, USA.
Jeffrey M CritchfieldDivision of Hospital Medicine, University of California, San Francisco/San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
Edgar PierluissiDivision of Geriatrics, University of California, San Francisco, San Francisco, CA, USA.
San Francisco General Hospital · USUniversity of California, San Francisco · US

Funding

RESEARCH TRAINING IN GERIATRIC MEDICINET32AG000212 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 1991 to 2026
$7.7M
Functional, Cognitive, and Social Vulnerabilities and Hospital ReadmissionK23AG045338 · NIA · UNIVERSITY OF PENNSYLVANIA · PI GREYSEN, SCOTT RYAN · 2013 to 2017
$800k
NIA NIH HHS K23 AG045338NIA NIH HHS T32 AG000212NIA NIH HHS T32 AG000212-21
6 · The paper itself

Abstract

backgroundLittle is known about hospitalization-associated disability (HAD) in older adults who receive care in safety-net hospitals.

objectivesTo describe HAD and to examine its association with age in adults aged 55 and older hospitalized in a safety-net hospital.

designSecondary post hoc analysis of a prospective cohort from a discharge intervention trial, the Support from Hospital to Home for Elders.

settingMedicine, cardiology, and neurology inpatient services of San Francisco General Hospital, a safety-net hospital.

participantsA total of 583 participants 55 and older who spoke English, Spanish, or Chinese. We determined the incidence of HAD 30 days post-hospitalization and ORs for HAD by age group. MEASUREMENTS: The outcome measure was death or HAD at 30 days after hospital discharge. HAD is defined as a new or additional disability in one or more activities of daily living (ADL) that is present at hospital discharge compared to baseline. Participants' functional status at baseline (2 weeks prior to admission) and 30 days post-discharge was ascertained by self-report of ADL function.

resultsMany participants (75.3 %) were functionally independent at baseline. By age group, HAD occurred as follows: 27.4 % in ages 55-59, 22.2 % in ages 60-64, 17.4 % in ages 65-69, 30.3 % in ages 70-79, and 61.7 % in ages 80 or older. Compared to the youngest group, only the adjusted OR for HAD in adults over 80 was significant, at 2.45 (95 % CI 1.17, 5.15).

conclusionsIn adults at a safety-net hospital, HAD occurred in similar proportions among adults aged 55-59 and those aged 70-79, and was highest in the oldest adults, aged ≥ 80. In safety-net hospitals, interventions to reduce HAD among patients 70 years and older should consider expanding age criteria to adults as young as 55.

Indexed as

HospitalizationSafety-net ProvidersAgedAged, 80 and overAge DistributionAge FactorsCaliforniaDisability EvaluationFemaleGeriatric AssessmentHealth BehaviorHealth Status IndicatorsHumansIncidenceMaleMiddle AgedActivities of daily livingFrail elderlyHospitalizationHospitalization-associated disabilityVulnerable populations

Identifiers

PMID25986139
PMCPMC4636578
OpenAlexW2096712791

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.