ArticleMedical care2018
Hospital Characteristics Associated With Postdischarge Hospital Readmission, Observation, and Emergency Department Utilization.
Article in Medical care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Beyond the operating room: do hospital characteristics have an impact on surgical site infections after colorectal surgery? A systematic review.Antimicrobial resistance and infection control · 2021Pooled it
- Factors associated with emergency room readmission after elective surgery for ovarian carcinoma.BMC women's health · 2023Article
- Who is paid in pay-for-performance? Inequalities in the distribution of financial bonuses amongst health centres in Zimbabwe.Health policy and planning · 2022Article
- The effect of a mobile integrated health program on health care cost and utilization.Health services research · 2021Observational
- Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness.BMC health services research · 2021Article
- Quality and Cost of Care by Hospital Teaching Status: What Are the Differences?The Milbank quarterly · 2021Article
- Patient Characteristics Associated With Readmission to 3 Neurology Services at an Urban Academic Center.The Neurohospitalist · 2021Article
- Thirty-Day Re-observation, Chronic Re-observation, and Neighborhood Disadvantage.Mayo Clinic proceedings · 2020Article
- Substantial hospital level variation in all-cause readmission rates among medicare beneficiaries with serious mental illness.Healthcare (Amsterdam, Netherlands) · 2020Article
- Assessment of Hospital Readmissions From the Emergency Department After Implementation of Medicare's Hospital Readmissions Reduction Program.JAMA network open · 2020Article
- Factors associated with 30-day and 1-year readmission among psychiatric inpatients in Beijing China: a retrospective, medical record-based analysis.BMC psychiatry · 2020Article
- Observational
- Overnight inpatient admission and revisit rates after pediatric adenotonsillectomy.Therapeutics and clinical risk management · 2019Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundWhether types of hospitals with high readmission rates also have high overall postdischarge acute care utilization (including emergency department and observation care) is unknown.
designCross-sectional analysis. SUBJECTS: Nonfederal United States acute care hospitals. MEASURES: Using methodology established by the Centers for Medicare & Medicaid Services, we calculated each hospital's "excess days in acute care" for fee-for-service (FFS) Medicare beneficiaries aged over 65 years discharged after hospitalization for acute myocardial infarction, heart failure (HF), or pneumonia, representing the mean difference between predicted and expected total days of acute care utilization in the 30 days following hospital discharge, per 100 discharges. We assessed the multivariable association of 8 hospital characteristics with excess days in acute care and the proportion of hospitals with each characteristic that were statistical outliers (95% credible interval estimate does not include 0).
resultsWe included 2184 hospitals for acute myocardial infarction [228 (10.4%) better than expected, 549 (25.1%) worse than expected], 3720 hospitals for HF [484 (13.0%) better and 840 (22.6%) worse], and 4195 hospitals for pneumonia [673 (16.0%) better, 1005 (24.0%) worse]. Results for all conditions were similar. Worse than expected outliers for pneumonia included: 18.8% of safety net hospitals versus 26.1% of nonsafety net hospitals; 16.7% of public hospitals versus 33.1% of for-profit hospitals; 19.5% of nonteaching hospitals versus 52.2% of major teaching hospitals; 7.9% of rural hospitals versus 42.1% of large urban hospitals; 5.9% of hospitals with 24-<50 beds versus 58% of hospitals with >500 beds; and 29.0% of hospitals with nurse-to-bed ratios >1.0-1.5 versus 21.7% of hospitals with ratios >2.0.
conclusionsIncluding emergency department and observation stays in measures of postdischarge utilization produces similar results as measuring only readmissions in that major teaching, urban and for-profit hospitals still perform disproportionately poorly versus nonteaching or public hospitals. However, it enables identification of more outliers and a more granular assessment of the association of hospital factors and outcomes.
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