Evidence map›Paper›PMID 31023987›Full record

ArticleGeriatrics (Basel, Switzerland)2019

Improving Care Transitions for Hospitalized Veterans Discharged to Skilled Nursing Facilities: A Focus on Polypharmacy and Geriatric Syndromes.

Amanda S Mixon, Vivian M Yeh, Sandra Simmons, James Powers, Eugene Wesley Ely, John Schnelle, Eduard E Vasilevskis

Open access · goldAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Geriatric Care Models.Geriatrics (Basel, Switzerland) · 2021
    Article
  5. 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

7 authors at 3 institutions in 1 country.

Amanda S MixonSection of Hospital Medicine, Vanderbilt University Medical Center, Nashville, TN 37203, USA. Amanda.S.Mixon@vumc.org.
Vivian M YehCenter for Clinical Quality and Implementation Research, Vanderbilt University Medical Center, Nashville, TN 37203, USA. vivian.m.yeh@vumc.org.
Sandra SimmonsGeriatric Research Education and Clinical Center (GRECC), VA Tennessee Valley Healthcare System, Nashville, TN 37212, USA. sandra.simmons@vumc.org.
James PowersGeriatric Research Education and Clinical Center (GRECC), VA Tennessee Valley Healthcare System, Nashville, TN 37212, USA. james.powers@vumc.org.
Eugene Wesley ElyGeriatric Research Education and Clinical Center (GRECC), VA Tennessee Valley Healthcare System, Nashville, TN 37212, USA. wes.ely@vumc.org.
John SchnelleGeriatric Research Education and Clinical Center (GRECC), VA Tennessee Valley Healthcare System, Nashville, TN 37212, USA. john.schnelle@Vanderbilt.Edu.
Eduard E VasilevskisSection of Hospital Medicine, Vanderbilt University Medical Center, Nashville, TN 37203, USA. ed.vasilevskis@vumc.org.
Vanderbilt University Medical Center · USVA Tennessee Valley Healthcare System · USGeriatric Research Education and Clinical Center · US

Funding

U.S. Department of Veterans Affairs 12-168U.S. Department of Veterans Affairs T-21
6 · The paper itself

Abstract

Geriatric syndromes and polypharmacy are common in older patients discharged to skilled nursing facilities (SNFs) and increase 30-day readmission risk. In a U.S.A. Department of Veterans Affairs (VA)-funded Quality Improvement study to improve care transitions from the VA hospital to area SNFs, Veterans (N = 134) were assessed for geriatric syndromes using standardized instruments as well as polypharmacy, defined as five or more medications. Warm handoffs were used to facilitate the transfer of this information. This paper describes the prevalence of geriatric syndromes, polypharmacy, and readmission rates. Veterans were prescribed an average of 14.7 medications at hospital discharge. Moreover, 75% of Veterans had more than two geriatric syndromes, some of which began during hospitalization. While this effort did not reduce 30-day readmissions, the high prevalence of geriatric syndromes and polypharmacy suggests that future efforts targeting these issues may be necessary to reduce readmissions among Veterans discharged to SNF.

Indexed as

care transitionsgeriatric syndromespolypharmacypost-acute carereadmissionskilled nursing facilities

Identifiers

PMID31023987
PMCPMC6473365
OpenAlexW2913924065

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.