Evidence map›Paper›PMID 31666271›Full record

ArticleBMJ open2019

Rates and predictors of general practitioner (GP) follow-up postdischarge from a tertiary hospital cardiology unit: a retrospective cohort study.

Luke Y I Huang, Samuel J Fogarty, Arnold C T Ng, William Y S Wang

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Luke Y I HuangFaculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Samuel J FogartyDepartment of Cardiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Arnold C T NgDepartment of Cardiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
William Y S WangFaculty of Medicine, University of Queensland, Brisbane, Queensland, Australia william.wang@uq.edu.au.ORCID 0000-0002-5369-5446

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious studies in cardiac patients noted that early patient follow-up with general practitioners (GPs) after hospital discharge was associated with reduced rates of hospital readmissions. We aimed to identify patient, clinical and hospital factors that may influence GP follow-up of patients discharged from a tertiary cardiology unit.

designSingle centre retrospective cohort study.

settingAustralian metropolitan tertiary hospital cardiology unit.

participants1079 patients discharged from the hospital cardiology unit within 3 months from May to July 2016. OUTCOME MEASURES: GP follow-up rates (assessed by telephone communication with patients' nominated GP practices), demographic, clinical and hospital factors predicting GP follow-up.

resultsWe obtained GP follow-up data on 983 out of 1079 (91.1%) discharges in the study period. Overall, 7, 14 and 30-day GP follow rates were 50.3%, 66.5% and 79.1%, respectively. A number of patient, clinical and hospital factors were associated with early GP follow-up, including pacemaker and defibrillator implantation, older age and having never smoked. Documented recommendation for follow-up in discharge summary was the strongest predictor for 7-day follow-up (p<0.001).

conclusionAfter discharge from a cardiology admission, half of the patients followed up with their GP within 7 days and most patients followed up within 30 days. Patient and hospital factors were associated with GP follow-up rates. Identification of these factors may facilitate prospective interventions to improve early GP follow-up rates.

Indexed as

AftercareAgedAustraliaCardiology Service, HospitalCardiovascular DiseasesFemaleGeneral PractitionersHumansMaleMiddle AgedPatient DischargePractice Patterns, Physicians'Retrospective StudiesTertiary Care Centersadult cardiologycardiologyclinical auditdischargedischarge planninghealth services administration & management

Identifiers

PMID31666271
PMCPMC6830598

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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.