Evidence map›Paper›PMID 32842827›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2021

Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home?

Arjun K Venkatesh, Cameron J Gettel, Hao Mei, Shih-Chuan Chou, Craig Rothenberg, Shu-Ling Liu, Gail D'Onofrio, ZhenQiu Lin, Harlan M Krumholz

Open access · greenAbstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

9 authors at 2 institutions in 1 country.

Arjun K VenkateshYale School of Medicine, New Haven, CT, USA.
Cameron J GettelYale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-6249-1023
Hao MeiYale School of Medicine, New Haven, CT, USA.
Shih-Chuan ChouYale School of Medicine, New Haven, CT, USA.
Craig RothenbergYale School of Medicine, New Haven, CT, USA.ORCID 0000-0003-3594-600X
Shu-Ling LiuYale School of Medicine, New Haven, CT, USA.
Gail D'OnofrioYale School of Medicine, New Haven, CT, USA.
ZhenQiu LinYale School of Medicine, New Haven, CT, USA.
Harlan M KrumholzYale School of Medicine, New Haven, CT, USA.
Yale University · USBrigham and Women's Hospital · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
Yale University Clinical and Translational Science Award ProgramKL2TR000140 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$2.9M
NCATS NIH HHS KL2 TR000140NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectivesThis study aimed to characterize the distribution of acute care visits among Medicare beneficiaries receiving skilled nursing facility (SNF) services.

methodsWe conducted a cross-sectional analysis of a 20% sample of continuously enrolled Medicare beneficiaries in the 2012 Chronic Condition Warehouse data set. Beneficiaries were grouped by the number of days of SNF services, and acute care visits were categorized as "before SNF," "during SNF," or "after SNF."

resultsAmong the 10,717,786 Medicare beneficiaries analyzed, 384,312 (3.6%) had at least one SNF stay. DISCUSSION: Beneficiaries who received SNF services had a higher proportion of acute care visits made to emergency departments (EDs) than beneficiaries who did not receive SNF services. Also, a higher proportion of acute care visits were made to EDs by beneficiaries after a SNF stay in comparison to residents actively residing in a SNF. The acute care capabilities of SNFs and post-SNF transitions of care to the community setting are discussed.

Indexed as

MedicareSkilled Nursing FacilitiesAgedCross-Sectional StudiesEmergency Service, HospitalHumansPatient-Centered CarePatient DischargeUnited Statesgeriatricshealth serviceslong-term services and supports

Identifiers

PMID32842827
PMCPMC7904961
OpenAlexW3080560099

What OpenQuestion holds

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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.