Evidence map›Paper›PMID 31804243›Full record

ArticleComputers, informatics, nursing : CIN2020

Factors Affecting Patient Prioritization Decisions at Admission to Home Healthcare: A Predictive Study to Develop a Risk Screening Tool.

Maxim Topaz, Mary D Naylor, John H Holmes, Kathryn H Bowles

Abstract read
In one paragraph

Article in Computers, informatics, nursing : CIN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Factors Associated with Timing of the Start-of-Care Nursing Visits in Home Health Care.Journal of the American Medical Directors Association · 2021
    Article
  4. 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

4 authors.

Maxim TopazAuthor Affiliations: School of Nursing and Data Science Institute, Columbia University (Dr Topaz); and Visiting Nurse Service of New York (Drs Topaz and Bowles); and School of Nursing (Drs Naylor and Bowles), and Department of Biostatistics and Epidemiology, Institute for Biomedical Informatics, Perelman School of Medicine (Dr Holmes), University of Pennsylvania, Philadelphia.
Mary D Naylor
John H Holmes
Kathryn H Bowles

Funding

Factors to Support Effective Discharge Decision MakingR01NR007674 · NINR · UNIVERSITY OF PENNSYLVANIA · PI BOWLES, KATHRYN HELENE · 2001 to 2015
$3.6M
NINR NIH HHS R01 NR007674
6 · The paper itself

Abstract

There is a lack of evidence on how to identify high-risk patients admitted to home healthcare. This study aimed (1) to identify which disease characteristics, medications, patient needs, social support characteristics, and other factors are associated with patient priority for the first home health nursing visit; and (2) to construct and validate a predictive model of patient priority for the first home health nursing visit. This was a predictive study of home health visit priority decisions made by 20 nurses for 519 older adults. The study found that nurses were more likely to prioritize patients who had wounds (odds ratio = 1.88), comorbid condition of depression (odds ratio = 1.73), limitation in current toileting status (odds ratio = 2.02), higher number of medications (increase in odds ratio for each medication = 1.04), and comorbid conditions (increase in odds ratio for each condition = 1.04). This study developed one of the first clinical decision support tools for home healthcare called "PREVENT". (PRiority home health Visit Tool). Further work is needed to increase the specificity and generalizability of the tool and to test its effects on patient outcomes.

Indexed as

Continuity of Patient CareHealth PrioritiesHome Care ServicesHome Health NursingNursing InformaticsAgedComorbidityDecision Support Systems, ClinicalDepressionFemaleHospitalizationHumansMaleMedication AdherenceNursesPatient Discharge

Identifiers

PMID31804243
PMCPMC8721587

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Registered trials

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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.