Evidence map›Paper›PMID 32291127›Full record

ArticleThe Journal of emergency medicine2020

The Accuracy of Interqual Criteria in Determining the Observation versus Inpatient Status in Older Adults with Syncope.

Anna Marie Chang, Judd E Hollander, Erica Su, Robert E Weiss, Annick N Yagapen, Susan E Malveau, David H Adler, Aveh Bastani, Christopher W Baugh, Jeffrey M Caterino and 9 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

19 authors at 15 institutions in 1 country.

Anna Marie ChangDepartment of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Judd E HollanderDepartment of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Erica SuDepartment of Biostatistics, University of California Los Angeles Fielding School of Public Health, Los Angeles, California.
Robert E WeissDepartment of Biostatistics, University of California Los Angeles Fielding School of Public Health, Los Angeles, California.
Annick N YagapenCenter for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health and Science University, Portland, Oregon.
Susan E MalveauCenter for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health and Science University, Portland, Oregon.
David H AdlerDepartment of Emergency Medicine, University of Rochester, Rochester, New York.
Aveh BastaniDepartment of Emergency Medicine, William Beaumont Hospital-Troy, Troy, Michigan.
Christopher W BaughDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Jeffrey M CaterinoDepartment of Emergency Medicine, Ohio State University Wexner Medical Center, Columbus, Ohio.
Carol L ClarkDepartment of Emergency Medicine, William Beaumont Hospital-Royal Oak, Royal Oak, Michigan.
Deborah B DiercksDepartment of Emergency Medicine, University of Texas-Southwestern, Dallas, Texas.
Bret A NicksDepartment of Emergency Medicine, Wake Forest School of Medicine, Winston Salem, North Carolina.
Daniel K NishijimaDepartment of Emergency Medicine, University of California Davis School of Medicine, Sacramento, California.
Manish N ShahDepartment of Emergency Medicine, University of Wisconsin-Madison, Madison, Wisconsin.
Kirk A StifflerDepartment of Emergency Medicine, Northeastern Ohio Medical University, Rootstown, Ohio.
Alan B StorrowDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Scott T WilberDepartment of Emergency Medicine, Northeastern Ohio Medical University, Rootstown, Ohio.
Benjamin C SunDepartment of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Northeast Ohio Medical University · USOregon Health & Science University · USThomas Jefferson University Hospital · USUniversity of California, Los Angeles · USBeaumont Hospital, Royal Oak · USBeaumont Hospital, Troy · USBrigham and Women's Hospital · USThe Ohio State University Wexner Medical Center · USThe University of Texas Southwestern Medical Center · USUniversity of California, Davis · USUniversity of Pennsylvania · USUniversity of Rochester · USUniversity of Wisconsin–Madison · USVanderbilt University Medical Center · USWake Forest University · US

Funding

Improving Syncope Risk Stratification in Older AdultsR01HL111033 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI SUN, BENJAMIN C · 2013 to 2017
$3.8M
NHLBI NIH HHS R01 HL111033
6 · The paper itself

Abstract

backgroundMcKesson's InterQual criteria are widely used in hospitals to determine if patients should be classified as observation or inpatient status, but the accuracy of the criteria is unknown.

objectiveWe sought to determine whether InterQual criteria accurately predicted length of stay (LOS) in older patients with syncope.

methodsWe conducted a secondary analysis of a cohort study of adults ≥60 years of age who had syncope. We calculated InterQual criteria and classified the patient as observation or inpatient status. Outcomes were whether LOS were less than or greater than 2 midnights.

resultsWe analyzed 2361 patients; 1227 (52.0%) patients were male and 1945 (82.8%) were white, with a mean age of 73.2 ± 9.0 years. The median LOS was 32.6 h (interquartile range 24.2-71.8). The sensitivity of InterQual criteria for LOS was 60.8% (95% confidence interval 57.9-63.6%) and the specificity was 47.8% (95% confidence interval 45.0-50.5%).

conclusionsIn older adults with syncope, those who met InterQual criteria for inpatient status had longer LOS compared with those who did not; however, the accuracy of the criteria to predict length of stay over 2 days is poor, with a sensitivity of 60% and a specificity of 48%. Future research should identify criteria to improve LOS prediction.

Indexed as

InpatientsSyncopeAgedAged, 80 and overCohort StudiesFemaleHumansLength of StayMaleMiddle Agedcase managementgeriatricsInterQualsyncope

Identifiers

PMID32291127
PMCPMC9353653
OpenAlexW3015690607

What OpenQuestion holds

Textmetadata
LicenceTDM
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.