Evidence map›Paper›PMID 29407518›Full record

ArticleArchives of physical medicine and rehabilitation2018

Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014.

Michael P Cary, Victoria Goode, Nancy Crego, Deirdre Thornlow, Cathleen S Colón-Emeric, Helen M Hoenig, Kayla Baba, Scarlet Fellingham, Elizabeth I Merwin

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Observational
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

9 authors at 3 institutions in 1 country.

Michael P CaryHealthcare in Adult Populations Division, Duke University School of Nursing, Durham, NC. Electronic address: michael.cary@duke.edu.
Victoria GoodeHealthcare in Adult Populations Division, Duke University School of Nursing, Durham, NC.
Nancy CregoHealthcare in Adult Populations Division, Duke University School of Nursing, Durham, NC.
Deirdre ThornlowHealthcare in Adult Populations Division, Duke University School of Nursing, Durham, NC.
Cathleen S Colón-EmericGeriatric Research, Education and Clinical Center, Durham Veterans Affairs Medical Center, Durham, NC; Division of Geriatrics, Department of Medicine, Duke University School of Medicine, Durham, NC.
Helen M HoenigGeriatric Research, Education and Clinical Center, Durham Veterans Affairs Medical Center, Durham, NC; Division of Geriatrics, Department of Medicine, Duke University School of Medicine, Durham, NC.
Kayla BabaHealthcare in Adult Populations Division, Duke University School of Nursing, Durham, NC.
Scarlet FellinghamHealthcare in Adult Populations Division, Duke University School of Nursing, Durham, NC.
Elizabeth I MerwinHealthcare in Adult Populations Division, Duke University School of Nursing, Durham, NC.
Duke University · USDurham VA Medical Center · USGeriatric Research Education and Clinical Center · US

Funding

Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
Duke CTSA (Composite)KL2TR001115 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, KRAFT, MONICA · 2013 to 2017
$5.1M
REDUCING HEALTH DISPARITIES IN SMI, RURAL AND MINORITY POPULATIONSR01MD010354 · NIMHD · UNIVERSITY OF TEXAS ARLINGTON · PI HAUENSTEIN, EMILY JEAN, MERWIN, ELIZABETH I. · 2016 to 2019
$3.0M
Mentoring Intervention Development in Fall and Fracture PreventionK24AG049077 · NIA · DUKE UNIVERSITY · PI COLON-EMERIC, CATHLEEN S · 2015 to 2019
$361k
NCATS NIH HHS KL2 TR001115NCATS NIH HHS UL1 TR001117NIA NIH HHS K24 AG049077NIA NIH HHS P30 AG028716NIMHD NIH HHS R01 MD010354
6 · The paper itself

Abstract

objectiveTo document changes in 30-day hospital readmission rates and causes for returning to the hospital for care in THR patients.

designRetrospective cross-sectional descriptive design.

settingCommunity-based acute care hospitals.

participantsTotal sample size (N=142,022) included THR patients (identified as ICD-9-CM procedure code 81.51) in 2009 (n=31,232) and (n=32,863) in 2014.

interventionsNot applicable.

main outcome measures30-Day hospital readmission.

resultsThe overall readmission rate decreased by 1.3% from 2009 to 2014. The decrease in readmission rates varied by groups, with lesser improvements seen in THR patients who were younger, with private insurance, and residing in lower-income and rural communities. Device complications were the leading cause of readmission in THR patients, increasing from 19.8% in 2009 to 23.9% in 2014.

conclusionsThere has been little decrease in hospital 30-day readmission rates for US community hospitals between 2009 and 2014. Findings from this brief report indicate patient groups at greater risk for 30-day hospital readmission as well as leading causes for readmission in THR patients which can inform the development of tailored interventions for reduction.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsArthroplasty, Replacement, HipCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsResidence CharacteristicsRetrospective StudiesHospitalsMedicarePatient safetyQuality improvementQuality of careRehabilitation

Identifiers

PMID29407518
PMCPMC5970972
OpenAlexW2787100899

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.