Evidence map›Paper›PMID 27225191›Full record

Observational studyBMC health services research2016

Factors associated with emergency department visit within 30 days after discharge.

Chuan-Lan Wang, Shih-Tan Ding, Ming-Ju Hsieh, Chin-Chung Shu, Nin-Chieh Hsu, Yu-Feng Lin, Jin-Shing Chen

Abstract readObservational Study
In one paragraph

Observational study in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Observational
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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

7 authors.

Chuan-Lan WangDepartment of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
Shih-Tan DingDepartment of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
Ming-Ju HsiehDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Chin-Chung ShuDepartment of Traumatology, Hospital Medicine Group, National Taiwan University Hospital, #7, Chung-Shan South Road, Taipei, 100, Taiwan. ccshu139@ntu.edu.tw.
Nin-Chieh HsuDepartment of Traumatology, Hospital Medicine Group, National Taiwan University Hospital, #7, Chung-Shan South Road, Taipei, 100, Taiwan.
Yu-Feng LinDepartment of Traumatology, Hospital Medicine Group, National Taiwan University Hospital, #7, Chung-Shan South Road, Taipei, 100, Taiwan.
Jin-Shing ChenDepartment of Traumatology, Hospital Medicine Group, National Taiwan University Hospital, #7, Chung-Shan South Road, Taipei, 100, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-discharge care remains a challenge because continuity of care is often interrupted and adverse events frequently occur. Previous studies have focused on early readmission but few have investigated emergency department (ED) visit after discharge.

methodsThis retrospective observational study was conducted between April 2011 and March 2012 in a referral center in Taiwan. Patients discharged from the general medical wards during the study period were analyzed and their characteristics, hospital course, and associated factors were collected. An ED visit within 30 days of discharge was the primary outcome while readmission or death at home were secondary outcomes.

resultsThere were 799 discharged patients analyzed, including 96 (12 %) with an ED visit of 12.4 days post-discharge and 111 (14 %) with readmissions at 13.3 days post-discharge. Sixty patients were admitted after their ED visit. Underlying chronic illnesses were associated with 72 % of ED visits. By multivariate analysis, Charlson score and the use of naso-gastric tube were independent risk factors for ED visit within 30 days after discharge.

conclusionsEarly ED visit after discharge is as high as 12 %. Patients with chronic illness and those requiring a naso-gastric tube or external biliary drain are at high risk for post-discharge ED visit.

Indexed as

AgedChronic DiseaseEmergency Service, HospitalFemaleHospitalizationHumansMalePatient DischargePatient ReadmissionRetrospective StudiesRisk FactorsTaiwanEmergency department visitHospital medicinePost-discharge transitional careReadmissionTaiwan

Identifiers

PMID27225191
PMCPMC4879744

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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.