Evidence map›Paper›PMID 30227990›Full record

ArticleDisability and health journal2019

30-day all-cause readmission rates among a cohort of individuals with rare conditions.

Kevin J Bennett, Joshua R Mann, Lijing Ouyang

Abstract read
In one paragraph

Article in Disability and health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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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

3 authors at 3 institutions in 1 country.

Kevin J BennettUniversity of South Carolina, Department of Family and Preventive Medicine, Columbia, SC, USA. Electronic address: kevin.bennett@uscmed.sc.edu.
Joshua R MannUniversity of Mississippi Medical Center School of Medicine and John D. Bower School of Population Health, Department of Preventive Medicine, Jackson, MS, USA.
Lijing OuyangCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA, USA.
Centers for Disease Control and Prevention · USUniversity of Mississippi Medical Center · USUniversity of South Carolina · US

Funding

Coordinating Center for Research and Training to Promote the Health of People witU01DD001007 · DD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI CARLIN, ROBERTA, MCDERMOTT, SUZANNE W · 2012 to 2016
$13.1M
ACL HHS U01DD001007Intramural CDC HHS CC999999NCBDD CDC HHS U01 DD001007
6 · The paper itself

Abstract

backgroundThere is a need to examine health care utilization of individuals with the rare conditions muscular dystrophies, spina bifida, and fragile X syndrome. These individuals have a greater need for health care services, particularly inpatient admissions. Prior studies have not yet assessed 30-day all-cause readmission rates.

objectiveTo estimate 30-day hospital readmission rates among individuals with three rare conditions. HYPOTHESIS: Rare conditions patients will have a higher 30-day all-cause readmission rate than those without.

methodsData from three sources (2007-2014) were combined for this case-control analysis. A cohort of individuals with one of the three conditions was matched (by age in 5 year age groups, gender, and race) to a comparison group without a rare condition. Inpatient utilization and 30-day all-cause readmission rates were compared between the two groups. Logistic regression analyses compared the odds of a 30-day all-cause readmission across the two groups, controlling for key covariates.

resultsA larger proportion in the rare condition group had at least one inpatient visit (46.1%) vs. the comparison group (23.6%), and a higher 30-day all-cause readmission rate (Spina Bifida-46.7%, Muscular Dystrophy-39.7%, and Fragile X Syndrome-35.8%) than the comparison group (13.4%). Logistic regression results indicated that condition status contributed significantly to differences in readmission rates.

conclusionsHigher rates of inpatient utilization and 30-day all-cause readmission among individuals with rare conditions vs. those without are not surprising, given the medical complexity of these individuals, and indicates an area where unfavorable outcomes may be improved with proper care coordination and post discharge care.

Indexed as

AdolescentAdultAgedAged, 80 and overCase-Control StudiesCohort StudiesFemaleHospitalizationHumansLogistic ModelsMaleMiddle AgedPatient Acceptance of Health CarePatient DischargePatient ReadmissionPersons with Disabilities30-day all-cause readmissionsFragile X syndromeMuscular dystrophySpina bifida

Identifiers

PMID30227990
PMCPMC6414271
OpenAlexW2889671897

What OpenQuestion holds

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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.