Evidence map›Paper›PMID 27585803›Full record

ArticleThe journal of behavioral health services & research2017

The Association Between Unhealthy Alcohol Use and Acute Care Expenditures in the 30 Days Following Hospital Discharge Among Older Veterans Affairs Patients with a Medical Condition.

Laura J Chavez, Chuan-Fen Liu, Nathan Tefft, Paul L Hebert, Beth Devine, Katharine A Bradley

Abstract readComparative Study
In one paragraph

Article in The journal of behavioral health services & research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
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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

6 authors.

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, USA. 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, USA.
Nathan TefftBates College, 2 Andrews Rd, Lewiston, ME, 04240, USA.
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, USA.
Beth DevineDepartment of Pharmacy, University of Washington, 1959 NE Pacific Street, Seattle, WA, 98195, USA.
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, USA.

Funding

Training Clinicians in Implementation Research to Improve Alcohol-related CareK24AA022128 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI BRADLEY, KATHARINE ANTHONY · 2016 to 2020
$876k
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
Agency for Healthcare Research and Quality 1R36HS022800-01AHRQ HHS R36 HS022800National Institute on Alcohol Abuse and Alcoholism 1R21AA02894-01A1NIAAA NIH HHS K24 AA022128NIAAA NIH HHS R21 AA020894
6 · The paper itself

Abstract

Hospital readmissions and emergency department (ED) visits within 30 days of discharge are costly. Heavy alcohol use could predict increased risk for post-discharge acute care. This study assessed 30-day acute care utilization and expenditures for different categories of alcohol use. Veterans Affairs (VA) patients age ≥65 years with past-year alcohol screening, hospitalized for a medical condition, were included. VA and Medicare health care utilization data were used. Two-part models adjusted for patient demographics. Among 416,050 hospitalized patients, 25% had 30-day acute care use. Nondrinking patients (n = 267,746) had increased probability of acute care use, mean utilization days, and expenditures (difference of $345; 95% CI $268-$423), relative to low-risk drinkers (n = 105,023). High-risk drinking patients (n = 5,300) had increased probability of acute care use and mean utilization days, but not expenditures. Although these patients did not have greater acute care expenditures than low-risk drinking patients, they may nevertheless be vulnerable to poor post-discharge outcomes.

Indexed as

AgedAged, 80 and overAlcohol DrinkingAlcoholismDatabases, FactualEmergency Service, HospitalFemaleHealth ExpendituresHospitalizationHumansLogistic ModelsMaleMedicarePatient ReadmissionUnited StatesUnited States Department of Veterans AffairsAlcohol ScreeningEmergency Department VisitIndex HospitalizationUnplanned ReadmissionVeteran Affair

Identifiers

PMID27585803
PMCPMC5332352

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.