ArticleMedical care2019
Does Early Follow-Up Improve the Outcomes of Sepsis Survivors Discharged to Home Health Care?
Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Outpatient Follow-Up and 30-Day Readmissions: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- Effectiveness of targeted post-acute interventions and follow-up services for sepsis survivors: a systematic review.Critical care (London, England) · 2025Pooled it
- Associations Between Early Physician Follow-up and Post-discharge Outcomes: A Systematic Review and Meta-analysis.Journal of general internal medicine · 2025Pooled it
- Rate and risk factors for rehospitalisation in sepsis survivors: systematic review and meta-analysis.Intensive care medicine · 2020Pooled it
- Strategies to address implementation barriers in sepsis survivors' care transitions to home health and outpatient care: a multi-site, type 1 hybrid implementation study.BMC health services research · 2026Article
- Defining diagnostic disclosure in the acute care setting: A concept analysis.International journal of nursing studies · 2026Review
- Patient-level barriers, related facilitators, and proposed strategies for timely home health care and outpatient appointments for sepsis survivors: Perspectives from healthcare system and home health care informants.Patient education and counseling · 2025Article
- Qualitative Study of the Context of Health Information Technology in Sepsis Care Transitions: Facilitators, Barriers, and Strategies for Improvement.Journal of the American Medical Directors Association · 2025Article
- Disparities in Infection Risk Among Home Health Care Patients: A Study Using Area Deprivation Index.Journal of the American Medical Directors Association · 2025Observational
- Prior authorization and utilization management for post-acute home health in Medicare Advantage: the motivations, players, processes, unique challenges, and impacts on patient care.Health affairs scholar · 2025Article
- Characteristics and Readmission Risks Following Sepsis Discharges to Home.Medical care · 2025Article
- Context and determinants for implementing a sepsis survivor care transition intervention reported from five health systems and home health agencies.Frontiers in medicine · 2025Article
- Application of a Human Factors and Systems Engineering Approach to Explore Care Transitions of Sepsis Survivors From Hospital to Home Health Care.Human factors · 2024Article
- Functional dependence following intensive care unit-treated sepsis: three-year follow-up results from the prospective Mid-German Sepsis Cohort (MSC).The Lancet regional health. Europe · 2024Article
- Home Health Care Use and Outcomes After Coronary Artery Bypass Grafting Among Medicare Beneficiaries.Circulation. Cardiovascular quality and outcomes · 2024Article
- Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocol.Frontiers in health services · 2024Article
- Risk of Rehospitalization or Emergency Department Visit is Significantly Higher for Patients who Receive Their First Home Health Care Nursing Visit Later than 2 Days After Hospital Discharge.Journal of the American Medical Directors Association · 2022Article
- Addressing the Gap in Data Communication from Home Health Care to Primary Care during Care Transitions: Completeness of an Interoperability Data Standard.Healthcare (Basel, Switzerland) · 2022Article
- Improving transitions and outcomes of sepsis survivors (I-TRANSFER): a type 1 hybrid protocol.BMC palliative care · 2022Article
- Exploring Reasons for Delayed Start-of-Care Nursing Visits in Home Health Care: Algorithm Development and Data Science Study.JMIR nursing · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundThere is little evidence to guide the care of over a million sepsis survivors following hospital discharge despite high rates of hospital readmission.
objectiveWe examined whether early home health nursing (first visit within 2 days of hospital discharge and at least 1 additional visit in the first posthospital week) and early physician follow-up (an outpatient visit in the first posthospital week) reduce 30-day readmissions among Medicare sepsis survivors.
designA pragmatic, comparative effectiveness analysis of Medicare data from 2013 to 2014 using nonlinear instrumental variable analysis. SUBJECTS: Medicare beneficiaries in the 50 states and District of Columbia discharged alive after a sepsis hospitalization and received home health care. MEASURES: The outcomes, protocol parameters, and control variables were from Medicare administrative and claim files and the home health Outcome and Assessment Information Set (OASIS). The primary outcome was 30-day all-cause hospital readmission.
resultsOur sample consisted of 170,571 mostly non-Hispanic white (82.3%), female (57.5%), older adults (mean age, 76 y) with severe sepsis (86.9%) and a multitude of comorbid conditions and functional limitations. Among them, 44.7% received only the nursing protocol, 11.0% only the medical doctor protocol, 28.1% both protocols, and 16.2% neither. Although neither protocol by itself had a statistically significant effect on readmission, both together reduced the probability of 30-day all-cause readmission by 7 percentage points (P=0.006; 95% confidence interval=2, 12).
conclusionsOur findings suggest that, together, early postdischarge care by home health and medical providers can reduce hospital readmissions for sepsis survivors.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.