Evidence map›Paper›PMID 32743301›Full record

ArticleAnnals of geriatric medicine and research2019

Risk Factors and Causes of Short-Term Mortality after Emergency Department Discharge in Older Patients: Using Nationwide Health Insurance Claims Data.

Seunggu Na, Yongil Cho, Tae Ho Lim, Hyunggoo Kang, Jaehoon Oh, Byuk Sung Ko

Open access · diamondAbstract read
In one paragraph

Article in Annals of geriatric medicine and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Patient-reported outcome measure use among older adults after emergency department care: A systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Pooled it
  2. Article
  3. Review
  4. Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021
    Article
  5. The Korean Geriatrics Society COVID-19 Strategy for Older Adults.Annals of geriatric medicine and research · 2020
    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 1 institution in 1 country.

Seunggu NaDepartment of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea.
Yongil ChoDepartment of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea.ORCID 0000-0001-5027-6345
Tae Ho LimDepartment of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea.
Hyunggoo KangDepartment of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea.
Jaehoon OhDepartment of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea.
Byuk Sung KoDepartment of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea.
Hanyang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to identify the risk factors and causes of short-term mortality after emergency department (ED) discharge in older patients.

methodsThis population-based cohort study used nationwide health insurance claims data in Korea from 2008 to 2014. The causes of death and diagnoses of patients who died within 1 week after discharge from EDs (1-week ED death) were obtained. The risk factors for 1-week ED death were calculated using Cox proportional hazard regression analyses.

resultsThe rate of 1-week ED death was 0.5% among 133,251 individuals aged ≥65 years discharged from EDs. In multivariate analysis, the top five ED discharge diagnoses associated with an increased risk of 1-week ED death were hypotension and vascular disease (adjusted hazard ratio [aHR]=5.11; 95% confidence interval [CI], 3.03-8.63), neoplasm (aHR=4.89; 95% CI, 3.77-6.35), coronary artery disease (aHR=3.83; 95% CI, 2.73-5.39), dyspnea (aHR=3.41; 95% CI, 2.48-4.68), and respiratory disease (aHR=2.25; 95% CI, 1.73-2.92). The most common causes of 1-week ED death were neoplasm (14.8%), senility (13.8%), and cerebrovascular disease (11.7%).

conclusionNeoplasm, coronary artery disease, and respiratory disease were the discharge diagnoses associated with an increased risk of short-term mortality after ED discharge. Neoplasm was the leading cause of short-term mortality after ED discharge in older patients.

Indexed as

AgedEmergency departmentsMortalityRisk factors

Identifiers

PMID32743301
PMCPMC7370767
OpenAlexW2975111319

What OpenQuestion holds

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LicenceCC BY-NC
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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.