Evidence map›Paper›PMID 29085229›Full record

ArticleWorld journal of gastroenterology2017

Hospital readmissions in decompensated cirrhotics: Factors pointing toward a prevention strategy.

Siamak M Seraj, Emily J Campbell, Sarah K Argyropoulos, Kara Wegermann, Raymond T Chung, James M Richter

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Article
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  4. Article
  5. Article
  6. Observational
  7. Measuring Medication Use, Obstacles, and Knowledge in Individuals With Cirrhosis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Changing Epidemiology of Cirrhosis and Hepatic Encephalopathy.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. 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.

Siamak M SerajMassachusetts General Hospital, Division of Gastroenterology, Boston, MA 02114, United States.
Emily J CampbellMassachusetts General Hospital, Division of Gastroenterology, Boston, MA 02114, United States.
Sarah K ArgyropoulosMassachusetts General Hospital, Division of Gastroenterology, Boston, MA 02114, United States.
Kara WegermannDuke University Hospital, Department of Medicine, Durham, NC 27710, United States.
Raymond T ChungMassachusetts General Hospital, Division of Gastroenterology, Boston, MA 02114, United States.
James M RichterMassachusetts General Hospital, Division of Gastroenterology, Boston, MA 02114, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo reduce readmissions and improve patient outcomes in cirrhotic patients through better understanding of readmission predictors.

methodsWe performed a single-center retrospective study of patients admitted with decompensated cirrhosis from January 1, 2011 to December 31, 2013 (

resultsOne hundred thirty-two patients (59.4%) were readmitted at least once during the study period. Median time to first and second readmissions were 54 and 93 d, respectively. Thirty and 90-d readmission rates were 20.7 and 30.1 percent, respectively. Predictors of 30-d readmission included education level, hepatic encephalopathy at index, ALT more than upper normal limit and Medicare coverage. There were no statistically significant differences in readmission rates when stratified by discharge disposition, outpatient follow-up provider or time to first outpatient visit.

conclusionReadmissions are challenging aspect of care for cirrhotic patients and risk continues beyond 30 d. More initiatives are needed to develop enhanced, longitudinal post-discharge systems.

Indexed as

AgedChronic DiseaseEducational StatusFemaleHepatic EncephalopathyHumansInsurance CoverageLength of StayLiver CirrhosisMaleMedicareMiddle AgedMultivariate AnalysisPatient ReadmissionRetrospective StudiesRisk FactorsChronic careChronic diseaseCirrhosisLiver diseaseReadmissionsRe-hospitalizations

Identifiers

PMID29085229
PMCPMC5645619

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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.