Evidence map›Paper›PMID 29247113›Full record

ArticleBMJ open2017

Outcomes of specialist discharge coordination and intermediate care schemes for patients who are homeless: analysis protocol for a population-based historical cohort.

Ruth M Blackburn, Andrew Hayward, Michelle Cornes, Martin McKee, Dan Lewer, Martin Whiteford, Dee Menezes, Serena Luchenski, Alistair Story, Spiros Denaxas and 11 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

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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

21 authors at 6 institutions in 1 country.

Ruth M BlackburnInstitute of Health Informatics, University College London, London, UK.
Andrew HaywardInstitute of Health Informatics, University College London, London, UK.
Michelle CornesSocial Care Workforce Research Unit, King's College London, London, UK.
Martin McKeeDepartment of Health Services Research & Policy, London School of Hygiene and Tropical Medicine, London, London, UK.
Dan LewerInstitute of Health Informatics, University College London, London, UK.
Martin WhitefordDepartment of Health Services Research, University of Liverpool, Liverpool, UK.
Dee MenezesInstitute of Health Informatics, University College London, London, UK.
Serena LuchenskiInstitute of Health Informatics, University College London, London, UK.
Alistair StoryUniversity College London Hospitals, London, UK.
Spiros DenaxasInstitute of Health Informatics, University College London, London, UK.
Michela TinelliPersonal Social Services Research Unit (PSSRU), London School of Economics and Political Science, London, UK.
Fatima B WurieInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0003-4802-2308
Richard ByngCommunity and Primary Care Research Group, Plymouth University Peninsula Schools of Medicine and Dentistry, PLYMOUTH, UK.
Michael C ClarkPersonal Social Services Research Unit (PSSRU), London School of Economics and Political Science, London, UK.
James FullerSocial Care Workforce Research Unit, King's College London, London, UK.
Mark GabbayDepartment of Health Services Research, University of Liverpool, Liverpool, UK.
Nigel HewettPathway Charity, London, UK.
Alan KilmisterSocial Care Workforce Research Unit, King's College London, London, UK.
Jill ManthorpeSocial Care Workforce Research Unit, King's College London, London, UK.
Joanne NealeNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Robert W AldridgeInstitute of Health Informatics, University College London, London, UK.
Farr Institute · GBKing's College London · GBLondon School of Economics and Political Science · GBUniversity of Liverpool · GBLondon School of Hygiene & Tropical Medicine · GBRoyal London Hospital · GB

Funding

Department of Health HS&DR/13/156/10Medical Research Council MR/K006584/1Wellcome Trust
6 · The paper itself

Abstract

introductionPeople who are homeless often experience poor hospital discharge arrangements, reflecting ongoing care and housing needs. Specialist integrated homeless health and care provision (SIHHC) schemes have been developed and implemented to facilitate the safe and timely discharge of homeless patients from hospital. Our study aims to investigate the health outcomes of patients who were homeless and seen by a selection of SIHHC services. METHODS AND ANALYSIS: Our study will employ a historical population-based cohort in England. We will examine health outcomes among three groups of adults: (1) homeless patients seen by specialist discharge schemes during their hospital admission; (2) homeless patients not seen by a specialist scheme and (3) admitted patients who live in deprived neighbourhoods and were not recorded as being homeless. Primary outcomes will be: time from discharge to next hospital inpatient admission; time from discharge to next accident and emergency attendance and 28-day emergency readmission. Outcome data will be generated through linkage to hospital admissions data (Hospital Episode Statistics) and mortality data for November 2013 to November 2016. Multivariable regression will be used to model the relationship between the study comparison groups and each of the outcomes. ETHICS AND DISSEMINATION: Approval has been obtained from the National Health Service (NHS) Confidentiality Advisory Group (reference 16/CAG/0021) to undertake this work using unconsented identifiable data. Health Research Authority Research Ethics approval (REC 16/EE/0018) has been obtained in addition to local research and development approvals for data collection at NHS sites. We will feedback the results of our study to our advisory group of people who have lived experience of homelessness and seek their suggestions on ways to improve or take this work further for their benefit. We will disseminate our findings to SIHHC schemes through a series of regional workshops.

Indexed as

Ill-Housed PersonsPatient DischargePatient Outcome AssessmentPatient ReadmissionEnglandHousingHumansInformation Storage and RetrievalResearch Designhomelessnesshospital dischargeintermediate caremedical respite

Identifiers

PMID29247113
PMCPMC5736042
OpenAlexW2768000124

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.