Evidence map›Paper›PMID 32562577›Full record

ArticleJournal of gastroenterology and hepatology2021

Lower household income is associated with an increased risk of hospital readmission in patients with decompensated cirrhosis.

Mayur Brahmania, Katie Wiskar, Keith R Walley, Leo A Celi, Barret Rush

Open access · greenAbstract read
In one paragraph

Article in Journal of gastroenterology and hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. 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

5 authors at 4 institutions in 2 countries.

Mayur BrahmaniaDepartment of Medicine, Division of Gastroenterology, London Health Sciences Center, Western University, London, Ontario, Canada.ORCID https://orcid.org/0000-0002-4671-1479
Katie WiskarDepartment of Medicine, Division of General Internal Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Keith R WalleyDepartment of Medicine, Division of Critical Care Medicine, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Leo A CeliDepartment of Medicine, Division of Critical Care Medicine, Beth Israel Deaconess Medical Center, Harvard University, Boston, Massachusetts, USA.
Barret RushDepartment of Internal Medicine, Division of Critical Care Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
University of British Columbia · CABeth Israel Deaconess Medical Center · USUniversity of Manitoba · CAWestern University · CA

Funding

Critical Care Informatics: Ethical considerations around the use and sharing of health-related dataR01EB017205 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI CELI, LEO ANTHONY G, MARK, ROGER GREENWOOD · 2014 to 2021
$3.8M
Critical Care InformaticsR56EB017205 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI CELI, LEO ANTHONY G, GHASSEMI, MARZYEH · 2018 to 2023
$783k
NIBIB NIH HHS R01 EB017205NIBIB NIH HHS R56 EB017205
6 · The paper itself

Abstract

BACKGROUND AND

aimThe impact of household income, a surrogate of socioeconomic status, on hospital readmission rates for patients with decompensated cirrhosis has not been well characterized.

methodsThe Nationwide Readmission Database from 2012 to 2014 was used to study the association of lower median household income on 30-, 90-, and 180-day hospital readmission rates for patients with decompensated cirrhosis.

resultsFrom the 42 679 001 hospital admissions contained in the sample, there were 82 598 patients with decompensated cirrhosis who survived a hospital admission in the first 6 months of the year. During a uniform 6-month follow-up period, 25 914 (31.4%), 39 928 (48.3%), and 47 496 (57.5%) patients were readmitted at 30, 90, and 180 days, respectively. After controlling for demographic and clinical confounders, patients residing in the three lowest income quartiles were significantly more likely to be readmitted at 30 days than those in the fourth quartile (first quartile, odds ratio [OR] 1.32 [95% confidence interval, CI, 1.17-1.47, P < 0.01]; second quartile, OR 1.25 [95% CI 1.13-1.38, P < 0.01]; and third quartile, OR 1.08 [95% CI 0.97-1.20, P = 0.07]). The association between lower socioeconomic status and the higher risk of readmissions persisted at 90 days (first quartile, OR 1.21 [95% CI 1.14-1.30, P < 0.01]) and 180 days (first quartile, OR 1.32 [95% CI 1.20-1.44, P < 0.01]).

conclusionPatients with decompensated cirrhosis residing in the lowest income quartile had a 32% higher odds of hospital readmissions at 30, 90, and 180 days compared with those in the highest income quartile.

Indexed as

Family CharacteristicsFemaleFollow-Up StudiesHumansLiver CirrhosisMalePatient ReadmissionPovertyRiskSocial ClassTime FactorsCirrhosisNRDReadmissionSocioeconomic status

Identifiers

PMID32562577
PMCPMC8063220
OpenAlexW3036830092

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.