Evidence map›Paper›PMID 26644137›Full record

ArticleDrug and alcohol dependence2016

Unhealthy alcohol use in older adults: Association with readmissions and emergency department use in the 30 days after hospital discharge.

Laura J Chavez, Chuan-Fen Liu, Nathan Tefft, Paul L Hebert, Brendan J Clark, Anna D Rubinsky, Gwen T Lapham, Katharine A Bradley

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2016. 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
4.3field-weighted citation impact, top 6% 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, 26 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

8 authors at 5 institutions in 1 country.

Laura J ChavezHealth Services Research & Development, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States; Department of Health Services, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States. Electronic address: ljchavez@uw.edu.
Chuan-Fen LiuHealth Services Research & Development, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States; Department of Health Services, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States. Electronic address: chuan-fen.liu@va.gov.
Nathan TefftBates College, 2 Andrews Rd, Lewiston, ME 04240, United States. Electronic address: ntefft@bates.edu.
Paul L HebertHealth Services Research & Development, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States; Department of Health Services, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States. Electronic address: paul.hebert2@va.gov.
Brendan J ClarkDivision of Pulmonary Sciences and Critical Care Medicine, University of Colorado Denver, 12700 East 19th Ave, Aurora, CO 80045, United States. Electronic address: brendan.clark@ucdenver.edu.
Anna D RubinskyHealth Services Research & Development, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States; Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States. Electronic address: anna.rubinsky@va.gov.
Gwen T LaphamHealth Services Research & Development, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States; Group Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, United States. Electronic address: lapham.g@ghc.org.
Katharine A BradleyHealth Services Research & Development, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States; Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States; Department of Health Services, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States; Department of Medicine, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States; Group Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, United States. Electronic address: bradley.k@ghc.org.
University of Washington · USKaiser Permanente Washington Health Research Institute · USBates College · USHealth Services Research & Development · USUniversity of Colorado Denver · US

Funding

Training Clinicians in Implementation Research to Improve Alcohol-related CareK24AA022128 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI BRADLEY, KATHARINE ANTHONY · 2016 to 2020
$876k
Tailored Screening, Brief Intervention, and Referral to Treatment for Medical IntK23AA021814 · NIAAA · UNIVERSITY OF COLORADO DENVER · PI CLARK, BRENDAN JAMES · 2014 to 2017
$688k
Evaluation of Quality Measures for Brief Alcohol InterventionR21AA020894 · NIAAA · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI BRADLEY, KATHARINE ANTHONY · 2012 to 2013
$372k
Unhealthy Drinking in Older Adults: 30-day Readmissions and Emergency CareR36HS022800 · AHRQ · UNIVERSITY OF WASHINGTON · PI CHAVEZ, LAURA JOHNSON · 2013 to 2013
$42k
AHRQ HHS 1R36HS022800-01AHRQ HHS R36 HS022800NIAAA NIH HHS 5R21AA020894-02NIAAA NIH HHS K23 AA 021814NIAAA NIH HHS K23 AA021814NIAAA NIH HHS K24 AA022128NIAAA NIH HHS R21 AA020894
6 · The paper itself

Abstract

backgroundUnhealthy alcohol use could impair recovery of older patients after medical or surgical hospitalizations. However, no prior research has evaluated whether older patients who screen positive for unhealthy alcohol use are at increased risk of readmissions or emergency department (ED) visits within 30 days after discharge. This study examined the association between AUDIT-C alcohol screening results and 30-day readmissions or ED visits.

methodsVeterans Affairs (VA) patients age 65 years or older, were eligible if they were hospitalized for a medical or surgical condition (2/1/2009-10/1/2011) and had an AUDIT-C score documented in their VA electronic medical record in the year before they were hospitalized. VA and Medicare data identified VA or non-VA index hospitalizations, readmissions, and ED visits. Primary analyses adjusted for demographics, comorbid conditions, and past-year health care utilization.

resultsAmong 579,330 hospitalized patients, 13.7% were readmitted and 12.0% visited an ED within 30 days of discharge. In primary analyses, high-risk drinking (n=7,167) and nondrinking (n=357,086) were associated with increased probability of readmission (13.8%, 95% CI 13.0-14.6%; and 14.2%, 95% CI 14.1-14.3%, respectively), relative to low-risk drinking (12.9%; 95% CI 12.7-13.0%). Only nondrinkers had increased risk for ED visits.

conclusionsAlcohol screening results indicating high-risk drinking that were available in medical records were modestly associated with risk for 30-day readmissions and were not associated with risk for ED visits.

Indexed as

AgedAged, 80 and overAlcohol DrinkingEmergency Service, HospitalFemaleHospitalizationHumansMalePatient DischargePatient ReadmissionRisk FactorsTime FactorsUnited StatesUnited States Department of Veterans AffairsAlcohol screeningEmergency departmentPost-discharge careQualityReadmissionsUnhealthy alcohol use

Identifiers

PMID26644137
PMCPMC4749399
OpenAlexW2172737843

What OpenQuestion holds

Textmetadata
LicenceTDM
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.