Evidence map›Paper›PMID 28777233›Full record

ArticleProfessional case management

Validating Performance of a Hospital Discharge Planning Decision Tool in Community Hospitals.

Diane E Holland, Cheryl Brandt, Paul V Targonski, Kathryn H Bowles

Abstract read
In one paragraph

Article in Professional case management. 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.

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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

4 authors.

Diane E HollandDiane E. Holland, PhD, RN, is Nurse Scientist in the Department of Nursing and an Associate Professor, College of Medicine, Mayo Clinic, Rochester, MN. She is a fellow in the Gerontological Society of America. Her research interests include transitioning patients from the hospital to home safely and successfully. Cheryl Brandt, PhD, RN, is Professor, Department of Nursing, College of Natural Sciences, California State University, San Bernadino. At the time of the study, Dr Brandt was Professor, University of Wisconsin, Eau Claire, and Research Specialist, Nursing Department, Mayo Clinic Health System-Eau Claire, WI. Paul V. Targonski, MD, PhD, is the Director for Clinical Research Initiatives, Department of Public Health Sciences, and Director for Research, Division of General Medicine, University of Virginia. He implements and evaluates clinical and community initiatives to advance safe, high-quality care impacting population health outcomes and successful aging. Kathryn H. Bowles, PhD, RN, is the van Ameringen Professor in Nursing Excellence at the University of Pennsylvania School of Nursing and Vice President and Director of the Center for Home Care Policy and Research at the Visiting Nurse Service of New York.
Cheryl Brandt
Paul V Targonski
Kathryn H Bowles

Funding

ESDP in Community HospitalsR03HS022923 · AHRQ · MAYO CLINIC ROCHESTER · PI HOLLAND, DIANE E. · 2014 to 2015
$100k
AHRQ HHS R03 HS022923
6 · The paper itself

Abstract

purpose of studyThe Early Screen for Discharge Planning (ESDP) is a decision support tool developed in an urban academic medical center. High ESDP scores identify patients with nonroutine discharge plans who would benefit from early discharge planning intervention. We aimed to determine the predictive performance of the ESDP in a different practice setting. PRIMARY PRACTICE

settingRural regional community hospital. METHODOLOGY AND SAMPLE: We designed a comparative, descriptive survey study and enrolled a convenience sample of 222 patients (identified at admission) who provided informed consent. Sample characteristics and ESDP scores were collected during enrollment. The Problems After Discharge Questionnaire, EuroQoL-5Dimensions quality-of-life measure, length of stay, and use of post-acute care services were recorded after discharge. We compared outcomes between patients with low and high ESDP scores.

resultsMore than half of the sample (51.8%) had a high ESDP score. Patients with high ESDP scores reported more problems after discharge (p = .02), reported lower quality of life (p < .001), had longer length of stays (p = .04), and used post-acute care services (p = .006) more than patients with low ESDP scores. The difference in the average percentage of unmet needs was not statistically significant (p = .12), but patients with high ESDP scores reported more unmet needs than patients with low ESDP scores. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: The value of systematically proactive approaches to discharge planning is increasingly recognized, but establishing the performance capacity of support tools is critical for optimizing benefit. These study findings support use of the ESDP in regional community hospitals, making it a useful, open-source decision support tool for various health care delivery systems.

Identifiers

PMID28777233
PMCPMC5646373

What OpenQuestion holds

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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.