Evidence map›Paper›PMID 32606326›Full record

ArticleScientific reports2020

Hospitalization for acute heart failure: the in-hospital care pathway predicts one-year readmission.

Claire Duflos, Pénélope Troude, David Strainchamps, Christophe Ségouin, Damien Logeart, Grégoire Mercier

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 21% 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, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Mesenchymal STRO-1/STRO-3Future cardiology · 2023
    Review
  6. Article
  7. Article
  8. 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

6 authors at 3 institutions in 1 country.

Claire DuflosDepartment of Medical Information, CHU, University of Montpellier, Montpellier, France. c-duflos@chu-montpellier.fr.ORCID http://orcid.org/0000-0002-7239-530X
Pénélope TroudePublic Health Department, Universitary Hospital Saint-Louis - Lariboisière - Fernand-Widal, AP-HP, Paris, France.
David StrainchampsDepartment of Medical Information, CHU, University of Montpellier, Montpellier, France.
Christophe SégouinPublic Health Department, Universitary Hospital Saint-Louis - Lariboisière - Fernand-Widal, AP-HP, Paris, France.
Damien LogeartCardiology Department, Universitary Hospital Saint-Louis - Lariboisière - Fernand-Widal, AP-HP, Paris, France.
Grégoire MercierDepartment of Medical Information, CHU, University of Montpellier, Montpellier, France.
Assistance Publique – Hôpitaux de Paris · FRUniversité de Montpellier · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with heart failure, some organizational and modifiable factors could be prognostic factors. We aimed to assess the association between the in-hospital care pathways during hospitalization for acute heart failure and the risk of readmission. This retrospective study included all elderly patients who were hospitalized for acute heart failure at the Universitary Hospital Lariboisière (Paris) during 2013. We collected the wards attended, length of stay, admission and discharge types, diagnostic procedures, and heart failure discharge treatment. The clinical factors were the specific medical conditions, left ventricular ejection fraction, type of heart failure syndrome, sex, smoking status, and age. Consistent groups of in-hospital care pathways were built using an ascending hierarchical clustering method based on a primary components analysis. The association between the groups and the risk of readmission at 1 month and 1 year (for heart failure or for any cause) were measured via a count data model that was adjusted for clinical factors. This study included 223 patients. Associations between the in-hospital care pathway and the 1 year-readmission status were studied in 207 patients. Five consistent groups were defined: 3 described expected in-hospital care pathways in intensive care units, cardiology and gerontology wards, 1 described deceased patients, and 1 described chaotic pathways. The chaotic pathway strongly increased the risk (p = 0.0054) of 1 year readmission for acute heart failure. The chaotic in-hospital care pathway, occurring in specialized wards, was associated with the risk of readmission. This could promote specific quality improvement actions in these wards. Follow-up research projects should aim to describe the processes causing the generation of chaotic pathways and their consequences.

Indexed as

AgedAged, 80 and overCritical PathwaysFemaleGeriatric AssessmentHeart FailureHumansInpatientsMalePatient Readmission

Identifiers

PMID32606326
PMCPMC7327074
OpenAlexW3040564036

What OpenQuestion holds

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LicenceCC BY
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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.