Evidence map›Paper›PMID 26588666›Full record

ReviewJournal of hospital medicine2016

Direct admission to the hospital: An alternative approach to hospitalization.

JoAnna K Leyenaar, Tara Lagu, Peter K Lindenauer

Abstract readReview
In one paragraph

Review in Journal of hospital medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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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.

JoAnna K LeyenaarDivision of Pediatric Hospital Medicine, Department of Pediatrics, Tufts University School of Medicine, Boston, Massachusetts.
Tara LaguCenter for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts.
Peter K LindenauerCenter for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts.

Funding

Defining Optimal Clinical Strategies for Critically Ill Heart Failure PatientsK01HL114745 · NHLBI · BAYSTATE MEDICAL CENTER, INC. · PI LAGU, TARA C · 2013 to 2017
$721k
Evaluating the safety and effectiveness of pediatric direct admissions to hospitalK08HS024133 · AHRQ · TUFTS MEDICAL CENTER · PI LEYENAAR, JOANNA · 2015 to 2017
$436k
AHRQ HHS K08 HS024133NHLBI NIH HHS K01 HL114745
6 · The paper itself

Abstract

Appropriate use of emergency departments (EDs) is a focus of national healthcare reform efforts, and patients requiring hospital admission account for a substantial proportion of ED utilization. Despite this, little attention has been paid to evaluating direct admission to the hospital as an alternative to hospital admissions beginning in the ED. In this Perspective, we discuss the role of hospital medicine in the changing epidemiology of hospital admissions, the potential risks and benefits of direct admission to the hospital, and the need for research to evaluate the safety and effectiveness of this admission approach. We propose that transitions of care research and quality improvement, historically focused on hospital-to-home transitions, be expanded to address transitions into the hospital.

Indexed as

HospitalizationEmergency Service, HospitalHumansPatient AdmissionPatient Transfer

Identifiers

PMID26588666
PMCPMC4821712

What OpenQuestion holds

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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.