ArticleJournal of general internal medicine2016
Change In Length of Stay and Readmissions among Hospitalized Medical Patients after Inpatient Medicine Service Adoption of Mobile Secure Text Messaging.
Article in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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.
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
14 citing papers in PubMed.
- Review
- An Informatics-Based, Payer-Led, Low-Intensity Multichannel Educational Campaign Designed to Decrease Postdischarge Utilization for Medicare Advantage Members: Retrospective Evaluation.JMIR human factors · 2025Article
- Article
- Characterizing the Patterns of Electronic Health Record-Integrated Secure Messaging Use: Cross-Sectional Study.Journal of medical Internet research · 2023Observational
- Barriers to Adoption of a Secure Text Messaging System: a Qualitative Study of Practicing Clinicians.Journal of general internal medicine · 2023Article
- Qualitative Analysis of Team Communication with a Clinical Texting System at a Midwestern Academic Hospital.Applied clinical informatics · 2022Article
- Examining the impact of an asynchronous communication platform versus existing communication methods: an observational study.BMJ innovations · 2021Article
- Evaluating the Impact of a New Smartphone Texting Tool on Patient Care in Obstetrics, an Emergent Healthcare Setting.Applied clinical informatics · 2019Article
- Evaluation of Secure Messaging Applications for a Health Care System: A Case Study.Applied clinical informatics · 2019Article
- Interaction patterns of trauma providers are associated with length of stay.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- A Mobile Health Application to Track Patients After Gastrointestinal Surgery: Results from a Pilot Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Using Active Choice Within the Electronic Health Record to Increase Influenza Vaccination Rates.Journal of general internal medicine · 2017Observational
- Using active choice within the electronic health record to increase physician ordering and patient completion of high-value cancer screening tests.Healthcare (Amsterdam, Netherlands) · 2016Article
- Capsule Commentary on Patel et al., Change in Length of Stay and Readmissions Among Hospitalized Medical Patients After Inpatient Medicine Service Adoption of Mobile Secure Text Messaging.Journal of general internal medicine · 2016Article
Corrections and comments
- Commented on by
Authors and funding
8 authors.
Funding
Abstract
backgroundChanges in the medium of communication from paging to mobile secure text messaging may change clinical care, but the effects of these changes on patient outcomes have not been well examined.
objectiveTo evaluate the association between inpatient medicine service adoption of mobile secure text messaging and patient length of stay and readmissions.
designObservational study.
participantsPatients admitted to medicine services at the Hospital of the University of Pennsylvania (intervention site; n = 8995 admissions of 6484 patients) and Penn Presbyterian Medical Center (control site; n = 6799 admissions of 4977 patients) between May 1, 2012, and April 30, 2014.
interventionMobile secure text messaging. MAIN MEASURES: Change in length of stay and 30-day readmissions, comparing patients at the intervention site to the control site before (May 1, 2012 to April 30, 2013) and after (May 1, 2013 to April 30, 2014) the intervention, adjusting for time trends and patient demographics, comorbidities, insurance, and disposition. KEY
resultsDuring the pre-intervention period, the mean length of stay ranged from 4.0 to 5.0 days at the control site and from 5.2 to 6.7 days at the intervention site, but trends were similar. In the first month after the intervention, the mean length of stay was unchanged at the control site (4.7 to 4.7 days) but declined at the intervention site (6.0 to 5.4 days). Trends were mostly similar during the rest of the post-intervention period, ranging from 4.4 to 5.6 days at the control site and from 5.4 to 6.5 days at the intervention site. Readmission rates varied significantly within sites before and after the intervention, but overall trends were similar. In adjusted analyses, there was a significant decrease in length of stay for the intervention site relative to the control site during the post-intervention period compared to the pre-intervention period (-0.77 days ; 95 % CI, -1.14, -0.40; P < 0.001). There was no significant difference in the odds of readmission (OR, 0.97; 95 % CI: 0.81, 1.17; P = 0.77). These findings were supported by multiple sensitivity analyses.
conclusionsCompared to a control group over time, hospitalized medical patients on inpatient services whose care providers and staff were offered mobile secure text messaging showed a relative decrease in length of stay and no change in readmissions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.