Evidence map›Paper›PMID 26588825›Full record

Observational studyJournal of hospital medicine2016

Interhospital transfer patients discharged by academic hospitalists and general internists: Characteristics and outcomes.

Lauge Sokol-Hessner, Andrew A White, Katherine F Davis, Shoshana J Herzig, Samuel F Hohmann

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study 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 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing 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

51 citing papers in PubMed.

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  14. Outcomes of Patients Transferred to Tertiary Center by Life-Saving System in Saudi Arabia. A Propensity Score Matching Observational Study.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2024
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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

5 authors.

Lauge Sokol-HessnerHospital Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Andrew A WhiteHospital Medicine, University of Washington Medical Center, Seattle, Washington.
Katherine F DavisUniversity HealthSystem Consortium, Chicago, Illinois.
Shoshana J HerzigHospital Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Samuel F HohmannUniversity HealthSystem Consortium, Chicago, Illinois.

Funding

Improving Use of Sedating Medications in Hospitalized Older AdultsK23AG042459 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI HERZIG, SHOSHANA J · 2013 to 2017
$783k
NIA NIH HHS K23 AG042459
6 · The paper itself

Abstract

backgroundPrior work suggests interhospital transfer (IHT) may be a risky event. Outcomes for patients transferred from another acute care institution and discharged by hospitalists and general internists at academic health systems are not well described.

objectiveInvestigate the characteristics and outcomes of IHT patients compared with patients admitted from the emergency department (ED) to academic health systems.

designRetrospective cohort study. SETTING/PATIENTS: A total of 885,392 adult inpatients discharged by hospitalists or general internal medicine physicians from 158 academic medical centers and affiliated hospitals participating in the University HealthSystem Consortium Clinical Database and Resource Manager from April 1, 2011 to March 31, 2012.

methodsPatient cohorts were defined by admission source: those from another acute care institution were IHTs, and those coming through the ED whose source of origination was not another hospital or ambulatory surgery site were ED admissions. In-hospital mortality was our primary outcome. We analyzed our data using descriptive statistics, t tests, χ(2) tests, and logistic regression.

resultsCompared with ED admissions, IHT patients had a longer average length of stay, higher proportion of time spent in the intensive care unit, higher costs per hospital day, lower frequency of discharges home, and higher inpatient mortality (4.1% vs 1.8%, P < 0.01). After adjusting for patient characteristics and risk of mortality measures, IHT patients had a higher risk of in-hospital death (odds ratio: 1.36, 95% confidence interval: 1.29-1.43).

conclusionsIn this large national sample, IHT status is independently associated with inpatient mortality.

Indexed as

AdultAgedAged, 80 and overCohort StudiesEmergency Service, HospitalFemaleGeneral PractitionersHospitalistsHospital MortalityHumansMaleMiddle AgedPatient DischargePatient TransferRetrospective StudiesTreatment Outcome

Identifiers

PMID26588825
PMCPMC5242336

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Registered trials

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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.