ReviewJournal of hospital medicine2016
Preparedness for hospital discharge and prediction of readmission.
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 23 papers.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed.
- Effect of digital tools to promote hospital quality and safety on adverse events after discharge.Journal of the American Medical Informatics Association : JAMIA · 2024Trial
- Effectiveness of a chronic care model-based transitional care program for patients with biliary drainage: a randomized controlled trial.Annals of medicine and surgery (2012) · 2026Article
- "I worry we'll blow right by it:" Barriers to Uptake of the STRATIFY-CDS for Acute Heart Failure.Applied clinical informatics · 2025Article
- Family caregiver role in care recipient preparedness for hospital discharge: A parallel mediation model.PloS one · 2025Article
- Predictive Value of LACE Scores for Pediatric Readmissions.The Permanente journal · 2024Article
- Theoretical concepts and instruments for measuring hospital discharge readiness: A scoping review.Heliyon · 2024Article
- Discharge Readiness and Associated Factors Among Patients with Coronary Heart Disease After Stent Implantation: A Cross-Sectional Single Center Study.Patient preference and adherence · 2024Article
- Article
- Early Expected Discharge Date Accuracy During Hospitalization: A Multivariable Analysis.Journal of medical systems · 2023Article
- Current Status and Influencing Factors of Readiness for Discharge of Elderly Patients with Chronic Obstructive Pulmonary Disease.Patient preference and adherence · 2023Article
- Perceived discharge quality and associations with hospital readmissions and emergency department use: a prospective cohort study.BMJ open quality · 2022Article
- Comparison of Nurses' and Patients' Readiness for Hospital Discharge: A Multicenter Study.Journal of patient experience · 2022Article
- Article
- Validation of the LACE Index (Length of Stay, Acuity of Admission, Comorbidities, Emergency Department Use) in the Adult Neurosurgical Patient Population.Neurosurgery · 2020Article
- Discharge Instruction Comprehension and Adherence Errors: Interrelationship Between Plan Complexity and Parent Health Literacy.The Journal of pediatrics · 2019Article
- The Care Transitions Measure-3 Is Only Weakly Associated with Post-discharge Outcomes: a Retrospective Cohort Study in 48,384 Albertans.Journal of general internal medicine · 2019Article
- Twelve Tips for Preparing a Surgical Discharge Summary: Enabling a Safe Discharge.MedEdPublish (2016) · 2019Article
- Multicultural Transitions: Caregiver Presence and Language-Concordance at Discharge.International journal of integrated care · 2018Article
- Hospital discharge preparedness for patients with limited English proficiency: A mixed methods study of bedside interpreter-phones.Patient education and counseling · 2018Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
BACKGROUND,
objectivePatients' self-reported preparedness for discharge has been shown to predict readmission. It is unclear what differences exist in the predictive abilities of 2 available discharge preparedness measures. To address this gap, we conducted a comparison of these measures. DESIGN, SETTING, PATIENTS: Adults hospitalized for cardiovascular diagnoses were enrolled in a prospective cohort. MEASUREMENTS: Two patient-reported preparedness measures assessed during postdischarge calls: the 11-item Brief Prescriptions, Ready to re-enter community, Education, Placement, Assurance of safety, Realistic expectations, Empowerment, Directed to appropriate services (B-PREPARED) and the 3-item Care Transitions Measure (CTM-3). Cox proportional hazard models analyzed the relationship between preparedness and time to first readmission or death at 30 and 90 days, adjusted for readmission risk using the administrative database-derived Length of stay, Acuity, Comorbidity, and Emergency department use (LACE) index and other covariates.
resultsMedian preparedness scores were: B-PREPARED 21 (interquartile range [IQR] 18-22) and CTM-3 77.8 (IQR 66.7-100). In individual Cox models, a 4-point increase in B-PREPARED score was associated with a 16% decrease in time to readmission or death at 30 and 90 days. A 10-point increase in CTM-3 score was not associated with readmission or death at 30 days, but was associated with a 6% decrease in readmission or death at 90 days. In models with both preparedness scores, B-PREPARED retained an association with readmission or death at both 30 and 90 days. However, neither preparedness score was as strong a predictor as the LACE index when all were included in the model predicting 30- and 90-day readmission or death.
conclusionThe B-PREPARED score was more strongly associated with readmission or death than the more widely adopted CTM-3, but neither predicted readmission as well as the LACE index. Journal of Hospital Medicine 2016;11:603-609. © 2016 Society of Hospital Medicine.
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