Evidence map›Paper›PMID 30760091›Full record

ArticleJournal of the International Association of Providers of AIDS Care

Patient and Provider Perspectives on 30-Day Readmissions, Preventability, and Strategies for Improving Transitions of Care for Patients with HIV at a Safety Net Hospital.

Ank E Nijhawan, Robin T Higashi, Emily G Marks, Yordanos M Tiruneh, Simon Craddock Lee

Open access · goldAbstract read
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Influence of CMO pharmaceutical care model-based intervention on readmission rate in high risk HIV patients: the INFARDAR study.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2021
    Trial
  2. Article
  3. Association of the VACS Index With Hospitalization Among People With HIV in the NA-ACCORD.Journal of acquired immune deficiency syndromes (1999) · 2022
    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

5 authors at 2 institutions in 1 country.

Ank E Nijhawan1 Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Robin T Higashi2 Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0001-5232-6852
Emily G Marks2 Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Yordanos M Tiruneh2 Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Simon Craddock Lee2 Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA.
The University of Texas Southwestern Medical Center · USParkland Health & Hospital System · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI Rami Kantor · 1998 to 2026
$51.7M
HIV and Other Infectious Consequences of Substance UseT32DA013911 · NIDA · MIRIAM HOSPITAL · PI TRACI C GREEN, JOSIAH D RICH · 2001 to 2026
$9.6M
UT Southwestern Center of Patient-Centered Outcomes Research (PCOR)R24HS022418 · AHRQ · UT SOUTHWESTERN MEDICAL CENTER · PI HALM, ETHAN A · 2013 to 2017
$5.0M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Reducing Readmissions and Improving Outcomes in HIV-Infected PatientsK23AI112477 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI NIJHAWAN, ANK ELISABETH · 2015 to 2018
$703k
AHRQ HHS R24 HS022418NIAID NIH HHS K23 AI112477NIAID NIH HHS P30 AI042853NIDA NIH HHS T32 DA013911NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

Thirty-day hospital readmissions, a key quality metric, are common among people living with HIV. We assessed perceived causes of 30-day readmissions, factors associated with preventability, and strategies to reduce preventable readmissions and improve continuity of care for HIV-positive individuals. Patient, provider, and staff perspectives toward 30-day readmissions were evaluated in semistructured interviews (n = 86) conducted in triads (HIV-positive patient, medical provider, and case manager) recruited from an inpatient safety net hospital. Iterative analysis included both deductive and inductive themes. Key findings include the following: (1) The 30-day metric should be adjusted for safety net institutions and patients with AIDS; (2) Participants disagreed about preventability, especially regarding patient-level factors; (3) Various stakeholders proposed readmission reduction strategies that spanned the inpatient to outpatient care continuum. Based on these diverse perspectives, we outline multiple interventions, from teach-back patient education to postdischarge home visits, which could substantially decrease hospital readmissions in this underserved population.

Indexed as

AdolescentAdultContinuity of Patient CareFemaleHealth PersonnelHIV InfectionsHospitalsHumansMaleMiddle AgedPatient ReadmissionPatientsSafety-net ProvidersYoung Adult30-day hospital readmissionHIV/AIDSqualitative methodssafety net

Identifiers

PMID30760091
PMCPMC6748499
OpenAlexW2912717577

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.