Evidence map›Paper›PMID 28375565›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2017

Emergency Department Vital Signs and Outcomes After Discharge.

Gelareh Z Gabayan, Michael K Gould, Robert E Weiss, Stephen F Derose, Vicki Y Chiu, Catherine A Sarkisian

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Emergency department overcrowding and its associated factors at HARME medical emergency center in Eastern Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  9. Article
  10. Advances in Non-Invasive Blood Pressure Monitoring.Sensors (Basel, Switzerland) · 2021
    Review
  11. Article
  12. Article
  13. Review
  14. Article
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 at 4 institutions in 1 country.

Gelareh Z GabayanDepartment of Medicine, University of California, Los Angeles, CA.
Michael K GouldDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA.
Robert E WeissDepartment of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA.
Stephen F DeroseDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA.
Vicki Y ChiuDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA.
Catherine A SarkisianDepartment of Medicine, University of California, Los Angeles, CA.
Kaiser Permanente · USUCLA Health · USUniversity of California, Los Angeles · USVA Greater Los Angeles Healthcare System · US

Funding

UCLA Clinical and Translational Science InstituteKL2TR000122 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$4.5M
Midcareer Award in Patient-Oriented Community-Academic Partnered Aging ResearchK24AG047899 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SARKISIAN, CATHERINE A · 2014 to 2025
$2.0M
Predictors of Negative Outcomes Following Acute Care Encounters in Older MedicareR03AG047862 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GABAYAN, GELAREH · 2014 to 2015
$186k
NCATS NIH HHS KL2 TR000122NIA NIH HHS K24 AG047899NIA NIH HHS R03 AG047862
6 · The paper itself

Abstract

objectiveVital signs are critical markers of illness severity in the emergency department (ED). Providers need to understand the abnormal vital signs in older adults that are problematic. We hypothesized that in patients age > 65 years discharged from the ED, there are abnormal vital signs that are associated with an admission to an inpatient bed within 7 days of discharge.

methodsWe conducted a retrospective cohort study using data from a regional integrated health system of members age > 65 years during the years 2009 to 2010. We used univariate contingency tables to assess the relationship between hospital admission within 7 days of discharge and vital sign (including systolic blood pressure [sBP], heart rate [HR], body temperature, and pulse oximetry [SpO

resultsOf 104,025 ED discharges, 4,638 (4.5%) were followed by inpatient admission within 7 days. Vital signs had a greater odds of admission beyond a single cutoff. The vital signs with at least twice the odds of admission were sBP < 97 mm Hg (odds ratio [OR] = 2.02, 95% CI = 1.57-2.60), HR > 101 beats/min (OR = 2.00 95% CI = 1.75-2.29), body temperature > 37.3°C (OR = 2.14, 95% CI = 1.90-2.41), and pulse oximetry < 92 SpO

conclusionWhile we found a majority of patients discharged with abnormal vital signs as defined by the analysis, not to be admitted after discharge, we identified vital signs associated with at least twice the odds of admission.

Indexed as

AgedAged, 80 and overEmergency Service, HospitalFemaleHospitalizationHumansMaleOdds RatioPatient DischargeRetrospective StudiesSensitivity and SpecificityVital Signs

Identifiers

PMID28375565
PMCPMC5935002
OpenAlexW2604437519

What OpenQuestion holds

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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.