Evidence map›Paper›PMID 30558578›Full record

ArticleBMC nephrology2018

Association of social worker-assessed psychosocial factors with 30-day hospital readmissions among hemodialysis patients.

Olufunmilola Adisa, Bernard G Jaar, Tahsin Masud, Abyalew Sahlie, Catherine Obadina, Joshua Ang, Janice P Lea, Laura C Plantinga

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nephrology, 2018. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Solo but Not Alone: An Examination of Social and Help Networks among Community-Dwelling Older Adults without Close Family.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  3. Article
  4. 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

8 authors.

Olufunmilola AdisaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Bernard G JaarDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Tahsin MasudDivision of Renal Medicine, Department of Medicine, Emory University, Atlanta, GA, USA.
Abyalew SahlieDivision of Renal Medicine, Department of Medicine, Emory University, Atlanta, GA, USA.
Catherine ObadinaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Joshua AngPhiladelphia College of Osteopathic Medicine, Suwanee, GA, USA.
Janice P LeaDivision of Renal Medicine, Department of Medicine, Emory University, Atlanta, GA, USA.
Laura C PlantingaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA. laura.plantinga@emory.edu.ORCID 0000-0003-0809-8981

Funding

Readmission due to pulmonary edema in hemodialysis patientsR03HS025018 · AHRQ · EMORY UNIVERSITY · PI PLANTINGA, LAURA · 2016 to 2017
$100k
AHRQ HHS R03 HS025018
6 · The paper itself

Abstract

backgroundEvidence regarding the effect of psychosocial factors on hospital readmission in the setting of hemodialysis is limited. We examined whether social worker-assessed factors were associated with 30-day readmission among prevalent hemodialysis patients.

methodsData on 14 factors were extracted from the first available psychosocial assessment performed by social workers at three metropolitan Atlanta dialysis centers. Index admissions (first admission preceded by ≥30 days without a previous hospital discharge) were identified in the period 2/1/10-12/31/14, using linked national administrative hospitalization data. Readmission was defined as any admission within 30 days after index discharge. Associations of each of the psychosocial factors with readmission were assessed using multivariable logistic regression with adjustment for patient and index admission characteristics.

resultsAmong 719 patients with index admissions, 22.1% were readmitted within 30 days. No psychosocial factors were statistically significantly associated with readmission risk. However, history of substance abuse vs. none was associated with a 29% higher risk of 30-day readmission [OR: 1.29, 95% CI: 0.75-2.23], whereas depression/anxiety was associated with 20% lower risk [OR: 0.80, 95% CI: 0.47-1.36]. Patients who were never married and those who were divorced, or widowed had 38 and 17% higher risk of 30-day readmission, respectively, than those who were married [OR: 1.38, 95% CI: 0.84-2.72; OR: 1.17, 95% CI: 0.73-1.90].

conclusionsResults suggest that psychosocial issues may be associated with risk of 30-day readmission among dialysis patients. Despite the limitations of lack of generalizability and potential misclassification due to patient self-report of psychosocial factors to social workers, further study is warranted to determine whether addressing these factors through targeted interventions could potentially reduce readmissions among hemodialysis patients.

Indexed as

Patient ReadmissionSocial WorkAdultAgedAnxietyDepressionDietDrinkingHumansKidney Failure, ChronicMaleMarital StatusMiddle AgedPatient CompliancePsychologyRenal DialysisHemodialysisHospital readmissionsMental healthPsychosocial factorsSocial worker

Identifiers

PMID30558578
PMCPMC6296214

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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.