Evidence map›Paper›PMID 31321240›Full record

ArticleBioMed research international2019

Identifying Potentially Avoidable Emergency Department Visits of Long-Term Care Hospital Residents in Korea: A Multicenter Retrospective Cohort Study.

Keon Kim, Dong Hoon Lee, Ho Young Yune, Jung Hee Wee, Duk Ho Kim, Eui Chung Kim, Jee Yong Lim, Seung Pil Choi

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 20% 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, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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 at 7 institutions in 1 country.

Keon KimDepartment of Emergency Medicine, Ewha Womans University Hospital, Seoul 07985, Republic of Korea.
Dong Hoon LeeDepartment of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06973, Republic of Korea.ORCID https://orcid.org/0000-0003-4306-8649
Ho Young YuneDepartment of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong-si, Gyeonggi-do 18450, Republic of Korea.
Jung Hee WeeDepartment of Emergency Medicine, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul 07345, Republic of Korea.ORCID https://orcid.org/0000-0001-6240-5458
Duk Ho KimDepartment of Emergency Medicine, Eulji University, Seoul 01830, Republic of Korea.
Eui Chung KimDepartment of Emergency Medicine, CHA University School of Medicine, Seongnam-si 13496, Republic of Korea.ORCID https://orcid.org/0000-0003-3113-2033
Jee Yong LimDepartment of Emergency Medicine, Seoul St. Mary's Hospital, Seoul 065691, Republic of Korea.
Seung Pil ChoiDepartment of Emergency Medicine, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul 07345, Republic of Korea.
The Catholic University of Korea Yeouido St. Mary's Hospital · KRCHA University · KRChung-Ang University · KREulji University · KREwha Womans University · KRHallym University Dongtan Sacred Heart Hospital · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aims of this study were to investigate the reasons of transfers from long-term care hospitals (LTCHs) to emergency departments (EDs) of university hospitals in geriatric patients and to categorize the avoidable causes of these transfers. This retrospective multicenter study involved patients aged 65 years and older who were transferred from LTCHs to 5 EDs of university hospitals located in the metropolitan area of South Korea between January 2017 and December 2017. The expert panel reviewed and categorized the reason of transfers as avoidable or not. Moreover, we also investigated the number of patients with do-not-resuscitate (DNR) documents and the date these DNR documents were written. A total of 255,543 patients visited 5 EDs during the study period. Of these, 1,131 patients were from LTCHs. The number of potentially avoidable transfers was 168/1,131 (14.9%). The most common reason of avoidable transfers was noncritical diagnoses that could be assessed and managed in LTCHs (57.1%). There were 162 patients with DNR orders; of these, 12 had approved the DNR order before transfer. In conclusion, in Korea, potentially avoidable transfers could be reduced by managing noncritical diseases in LTCH and preparing advance care directives, including DNR orders, during admission to LTCH.

Indexed as

AgedAged, 80 and overCerebrovascular DisordersDecision MakingEmergency Medical ServicesEmergency Service, HospitalFemaleHealth FacilitiesHospitalsHumansLong-Term CareMalePatient TransferRepublic of Korea

Identifiers

PMID31321240
PMCPMC6607723
OpenAlexW2952262736

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.