Evidence map›Paper›PMID 29455228›Full record

ArticleJournal of hospital medicine2018

Numeracy, Health Literacy, Cognition, and 30-Day Readmissions among Patients with Heart Failure.

Madeline R Sterling, Monika M Safford, Kathryn Goggins, Sam K Nwosu, Jonathan S Schildcrout, Kenneth A Wallston, Amanda S Mixon, Russell L Rothman, Sunil Kripalani

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hospital medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  8. 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
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  15. Cognitive Impairment in Acute Heart Failure: Narrative Review.Journal of cardiovascular development and disease · 2021
    Review
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  17. Review
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  19. Observational
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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

9 authors.

Madeline R SterlingDepartment of Medicine, Weill Cornell Medical College, New York, New York, USA. mrs9012@med.cornell.edu.
Monika M SaffordDepartment of Medicine, Weill Cornell Medical College, New York, New York, USA.
Kathryn GogginsCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Sam K NwosuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jonathan S SchildcroutDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kenneth A WallstonSchool of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Amanda S MixonCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Russell L RothmanCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Sunil KripalaniCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Weill Cornell Training Program in Health Services ResearchT32HS000066 · AHRQ · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHARLSON, MARY E · 1994 to 2018
$4.7M
Health Literacy, Hospital Discharge, and Cardiovascular OutcomesR01HL109388 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KRIPALANI, SUNIL · 2011 to 2015
$3.3M
Complementary and Integrative Medicine Training ProgramT32AT001161 · NCCIH · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHARLSON, MARY E · 2004 to 2008
$721k
AHRQ HHS T32 HS000066NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NCCIH NIH HHS T32 AT001161NHLBI NIH HHS R01 HL109388
6 · The paper itself

Abstract

backgroundNumeracy, health literacy, and cognition are important for chronic disease management. Prior studies have found them to be associated with poorer selfcare and worse clinical outcomes, but limited data exists in the context of heart failure (HF), a condition that requires patients to monitor their weight, fluid intake, and dietary salt, especially in the posthospitalization period.

objectiveTo examine the relationship between numeracy, health literacy, and cognition with 30-day readmissions among patients hospitalized for acute decompensated HF (ADHF). DESIGN, SETTING, PATIENTS: The Vanderbilt Inpatient Cohort Study is a prospective longitudinal study of adults hospitalized with acute coronary syndromes and/or ADHF. We studied 883 adults hospitalized with ADHF. MEASUREMENTS: During their hospitalization, a baseline interview was performed in which demographic characteristics, numeracy, health literacy, and cognition were assessed. Through chart review, clinical characteristics were determined. The outcome of interest was 30-day readmission to any acute care hospital. To examine the association between numeracy, health literacy, cognition, and 30-day readmissions, multivariable Poisson (log-linear) regression was used.

resultsOf the 883 patients admitted for ADHF, 23.8% (n = 210) were readmitted within 30 days; 33.9% of the study population had inadequate numeracy skills, 24.6% had inadequate/marginal literacy skills, and 53% had any cognitive impairment. Numeracy and cognition were not associated with 30-day readmissions. Though (objective) health literacy was associated with 30-day readmissions in unadjusted analyses, it was not in adjusted analyses.

conclusionsNumeracy, health literacy, and cognition were not associated with 30-day readmission among this sample of patients hospitalized with ADHF.

Indexed as

AdultAgedAged, 80 and overCognitionCognition DisordersFemaleHealth LiteracyHeart FailureHospitalizationHumansLinear ModelsLongitudinal StudiesMaleMiddle AgedPatient ReadmissionProspective Studies

Identifiers

PMID29455228
PMCPMC5836748

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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.