Evidence map›Paper›PMID 32842139›Full record

ArticlePloS one2020

Differences among Research Domain Criteria score trajectories by Diagnostic and Statistical Manual categorical diagnosis during inpatient hospitalization.

Thomas H McCoy, Amelia M Pellegrini, Roy H Perlis

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Mood Disorders and Outcomes of COVID-19 Hospitalizations.The American journal of psychiatry · 2021
    Article
  8. Dimensional clinical phenotyping usingAlzheimer's & dementia (Amsterdam, Netherlands)
    Article
  9. 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

3 authors at 2 institutions in 1 country.

Thomas H McCoyCenter for Quantitative Health, Massachusetts General Hospital, Boston, MA, United States of America.ORCID 0000-0002-5624-0439
Amelia M PellegriniCenter for Quantitative Health, Massachusetts General Hospital, Boston, MA, United States of America.ORCID 0000-0001-9312-7673
Roy H PerlisCenter for Quantitative Health, Massachusetts General Hospital, Boston, MA, United States of America.
Harvard University · USMassachusetts General Hospital · US

Funding

Role of the Extracellular Matrix in the Pathophysiology of Alzheimer's disorder: Regulation by OTX2R01MH104488 · NIMH · MCLEAN HOSPITAL · PI BERRETTA, SABINA, WOO, TSUNG-UNG W. · 2015 to 2019
$2.8M
Natural language processing for characterizing psychopathologyR01MH106577 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2016 to 2018
$1.2M
NIMH NIH HHS R01 MH104488NIMH NIH HHS R01 MH106577
6 · The paper itself

Abstract

With brief psychiatric hospitalizations, the extent to which symptoms change is rarely characterized. We sought to understand symptomatic changes across Research Domain Criteria (RDoC) dimensions, and the extent to which such improvement might be associated with risk for readmission. We identified 3,634 individuals with 4,713 hospital admissions to the psychiatric inpatient unit of a large academic medical center between 2010 and 2015. We applied a natural language processing tool to extract estimates of the five RDoC domains to the admission note and discharge summary and calculated the change in each domain. We examined the extent to which symptom domains changed during admission, and their relationship to baseline clinical and sociodemographic features, using linear regression. Symptomatic worsening was rare in the negative valence (0.4%) and positive valence (5.1%) domains, but more common in cognition (25.8%). Most diagnoses exhibited improvement in negative valence, which was associated with significant reduction in readmission risk. Despite generally brief hospital stays, we detected reduction across multiple symptom domains, with greatest improvement in negative symptoms, and greatest probability of worsening in cognitive symptoms. This approach should facilitate investigations of other features or interventions which may influence pace of clinical improvement.

Indexed as

Diagnostic and Statistical Manual of Mental DisordersAcademic Medical CentersAdultElectronic Health RecordsFemaleHumansLength of StayMaleMental DisordersMiddle AgedNatural Language ProcessingPatient AdmissionPatient Discharge SummariesPatient ReadmissionRetrospective StudiesRisk Assessment

Identifiers

PMID32842139
PMCPMC7447552
OpenAlexW3081122710

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.