Evidence map›Paper›PMID 31363517›Full record

ArticleFuture healthcare journal2019

Reducing readmission rates through a discharge follow-up service.

Duncan Vernon, James E Brown, Eliza Griffiths, Alan M Nevill, Martha Pinkney

Open access · diamondAbstract read
In one paragraph

Article in Future healthcare journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  17. Evaluation of the association of length of stay in hospital and outcomes.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022
    Article
  18. Proactive care post-discharge to reduce 30 day readmissions to hospital.The International journal of risk & safety in medicine · 2022
    Article
  19. Hospital readmissions and emergency department re-presentation of COVID-19 patients: a systematic review.Revista panamericana de salud publica = Pan American journal of public health · 2022
    Review
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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 5 institutions in 1 country.

Duncan VernonSolihull Metropolitan Borough Council, Solihull, UK.
James E BrownAston University, Birmingham, UK.
Eliza GriffithsSouth Warwickshire Foundation Trust, Warwick, UK.
Alan M NevillUniversity of Wolverhampton, Walsall, UK.
Martha PinkneySolihull Hospital, Solihull, UK.
Aston University · GBCity of Bradford Metropolitan District Council · GBSolihull Hospital · GBSouth Warwickshire NHS Foundation Trust · GBUniversity of Wolverhampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Approximately 15% of elderly patients are readmitted within 28 days of discharge. This costs the NHS and patients. Previous studies show telephone contact with patients -post-discharge can reduce readmission rates. This service -evaluation used a cohort design and compared 30-day emergency readmission rate in patients identified to receive a community nurse follow-up with patients where no attempt was made. 756 patients across seven hospital wards were -identified; 303 were identified for the intervention and 453 in a -comparison group. Hospital admission and readmission data was extracted over 6 months. Where an attempt to contact a patient was made post-discharge, the readmission rate was 9.24% compared to 15.67% where no attempt to -contact was made (p=0.011). After adjustment for -confounding using logistic regression, there was evidence of reduced readmissions in the 'attempt to contact' group odds ratio = 1.93 (95% c-onfidence interval = 1.06-3.52, p=0.033). Of the patients who community nurses attempted to contact, 288 were contacted, and 202 received a home visit with general practitioner -referral and medications advice being the most common -interventions initiated. This service evaluation shows that a simple intervention where community nurses attempt to contact and visit geriatric patients after discharge causes a significant reduction in 30-day hospital readmissions.

Indexed as

Dischargegeriatricsreadmissiontelephone contract

Identifiers

PMID31363517
PMCPMC6616175
OpenAlexW2954728549

What OpenQuestion holds

Textmetadata
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.