Evidence map›Paper›PMID 29912841›Full record

ArticleMedical care2018

Time-varying Readmission Diagnoses During 30 Days After Hospitalization for COPD Exacerbation.

Tadahiro Goto, Mohammad K Faridi, Carlos A Camargo, Kohei Hasegawa

Abstract read
In one paragraph

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 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
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  9. Review
  10. Article
  11. Observational
  12. International journal of chronic obstructive pulmonary disease
    Article
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

4 authors.

Tadahiro GotoDepartment of Emergency Medicine, Massachusetts General Hospital.
Mohammad K FaridiDepartment of Emergency Medicine, Massachusetts General Hospital.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital.
Kohei HasegawaDepartment of Emergency Medicine, Massachusetts General Hospital.

Funding

Comparative Effectiveness Research on Hospital Readmissions for COPDR01HS023305 · AHRQ · MASSACHUSETTS GENERAL HOSPITAL · PI CAMARGO, CARLOS ARTURO · 2015 to 2019
$1.1M
AHRQ HHS R01 HS023305
6 · The paper itself

Abstract

objectiveTo investigate the longitudinal changes in principal readmission diagnoses within 30 days after hospitalization for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). STUDY

settingMedicare claims data, 2010-2012. STUDY

designRetrospective cohort study. DATA COLLECTION

methodsWe identified AECOPD hospitalizations aged 65 years and above, and examined the principal 30-day readmission diagnoses (respiratory related, cardiac related, and other conditions). We also constructed Joinpoint regression models to test whether patients with each of the 3 major readmission conditions had a unique temporal pattern of readmission during the 30-day period. PRINCIPAL

findingsAmong 76,697 index hospitalizations with AECOPD, 14,090 (18.4%) were readmitted within 30 days. Respiratory-related conditions accounted for 55% of readmissions. The proportion of respiratory-related conditions as the readmission diagnosis decreased from postdischarge day 1 to day 8 (4.0% decrease), and then increased thereafter (13.2% increase; P=0.06). Cardiac-related conditions had a similar nonlinear trend with an inflection point at day 6 (P=0.02), with a subsequent downward trend from day 22 (P=0.01). By contrast, the other conditions increased from day 1 to day 6 (15.0% increase), and then significantly decreased (28.8% decrease; P=0.04).

conclusionsThe proportions of principal discharge diagnosis of readmission changed significantly at around postdischarge day 7. Our findings advance research into identification of the underlying mechanisms and development of targeted interventions to prevent readmissions.

Indexed as

AgedCohort StudiesDisease ProgressionFemaleHospitalizationHumansLength of StayMaleMedicareMiddle AgedOutcome Assessment, Health CarePatient DischargePatient ReadmissionPulmonary Disease, Chronic ObstructiveRetrospective StudiesUnited States

Identifiers

PMID29912841
PMCPMC6041171

What OpenQuestion holds

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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.