Evidence map›Paper›PMID 30527462›Full record

ArticleThe Journal of surgical research2019

Role of Post-Acute Care on Hospital Readmission After High-Risk Surgery.

Austin J Lee, Xiang Liu, Tudor Borza, Yongmei Qin, Benjamin Y Li, Kenneth L Urish, Peter S Kirk, Scott Gilbert, Brent K Hollenbeck, Jonathan E Helm and 3 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of surgical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 17 citations in OpenAlex.

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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

13 authors at 4 institutions in 1 country.

Austin J LeeSchool of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. Electronic address: ajl97@pitt.edu.
Xiang LiuDepartment of Industrial and Operations Engineering, University of Michigan, Ann Arbor, Michigan.
Tudor BorzaDivisions of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan; Divisions of Health Services Research and Oncology, Department of Urology, University of Michigan, Ann Arbor, Michigan.
Yongmei QinDivisions of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan.
Benjamin Y LiDivisions of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan.
Kenneth L UrishDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Peter S KirkDivisions of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan.
Scott GilbertDepartment of Urology, H. Lee Moffitt Cancer Center, Tampa, Florida.
Brent K HollenbeckDivisions of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan; Divisions of Health Services Research and Oncology, Department of Urology, University of Michigan, Ann Arbor, Michigan.
Jonathan E HelmW.P. Carey School of Business, Arizona State University, Tempe, Arizona.
Mariel S LavieriDepartment of Industrial and Operations Engineering, University of Michigan, Ann Arbor, Michigan.
Ted A SkolarusDivisions of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan; Divisions of Health Services Research and Oncology, Department of Urology, University of Michigan, Ann Arbor, Michigan; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Tempe, Arizona.
Bruce L JacobsDepartment of Urology, University of Pittsburgh, Pittsburgh, Pennsylvania.
University of Michigan · USUniversity of Pittsburgh · USArizona State University · USMoffitt Cancer Center · US

Funding

Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
Advanced Training in Urologic OncologyT32CA180984 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Ganesh S Palapattu, VAHAKN B SHAHINIAN · 2014 to 2026
$3.4M
Major surgery in patients with Alzheimer's disease and related dementias: effects of technology and policyR01AG048071 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOLLENBECK, BRENT K. · 2015 to 2019
$3.0M
Biofilm antibiotic tolerance in periprosthetic joint infectionK08AR071494 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI URISH, KENNETH L · 2017 to 2021
$831k
NCATS NIH HHS KL2 TR001856NCI NIH HHS T32 CA180984NIAMS NIH HHS K08 AR071494NIA NIH HHS R01 AG048071
6 · The paper itself

Abstract

backgroundPayment models, including the Hospital Readmissions Reduction Program and bundled payments, place pressures on hospitals to limit readmissions. Against this backdrop, we sought to investigate the association of post-acute care after major surgery and readmission rates.

methodsWe identified patients undergoing high-risk surgery (abdominal aortic aneurysm repair, coronary bypass grafting, aortic valve replacement, carotid endarterectomy, esophagectomy, pancreatectomy, lung resection, and cystectomy) from 2005 to 2010 using the Healthcare Cost and Utilization Project's State Inpatient Database. The primary outcome was readmission rates after major surgery. Secondary outcome was readmission length of stay.

resultsWe identified 135,523 patients of whom 56,720 (42%) received post-acute care. Patients receiving post-acute care had higher readmission rates than those who were discharged home (16% versus 10%, respectively; P < 0.001). The risk-adjusted readmission length of stay was greatest for patients who received care from a skilled nursing facility, followed by those who received home care, and lowest for those who did not receive post-acute care (7.1 versus 5.4 versus 4.8 d, respectively; P < 0.001).

conclusionsThe use of post-acute care was associated with higher readmission rates and higher readmission lengths of stay. Improving the support of patients in post-acute care settings may help reduce readmissions and readmission intensity.

Indexed as

Postoperative ComplicationsSubacute CareAdultAgedFemaleHumansMaleMiddle AgedPatient ReadmissionRetrospective StudiesHome carePost–acute careReadmissionSkilled nursing facilitySurgery

Identifiers

PMID30527462
PMCPMC6291841
OpenAlexW2894812257

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.