Evidence map›Paper›PMID 32875332›Full record

Observational studyPain medicine (Malden, Mass.)2020

Predicting Pain-Related 30-Day Emergency Department Return Visits in Middle-Aged and Older Adults.

Sophia Sheikh, Ashley Booth-Norse, Carmen Smotherman, Colleen Kalynych, Katryne Lukens-Bull, Erika Guerrido, Morgan Henson, Shiva Gautam, Phyllis Hendry

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
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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

9 authors at 1 institution in 1 country.

Sophia SheikhDepartment of Emergency Medicine, University of Florida College of Medicine, Jacksonville, Florida.
Ashley Booth-NorseDepartment of Emergency Medicine, University of Florida College of Medicine, Jacksonville, Florida.
Carmen SmothermanCenter for Health Equity and Quality Research, University of Florida College of Medicine, Jacksonville, Florida.
Colleen KalynychDepartment of Emergency Medicine, University of Florida College of Medicine, Jacksonville, Florida.
Katryne Lukens-BullCenter for Health Equity and Quality Research, University of Florida College of Medicine, Jacksonville, Florida.
Erika GuerridoCenter for Health Equity and Quality Research, University of Florida College of Medicine, Jacksonville, Florida.
Morgan HensonDepartment of Emergency Medicine, University of Florida College of Medicine, Jacksonville, Florida.
Shiva GautamDepartment of Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA.
Phyllis HendryDepartment of Emergency Medicine, University of Florida College of Medicine, Jacksonville, Florida.
University of Florida · US

Funding

UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
SOCIAL SUPPORT OF CAREGIVERS FOR DEMENTIA PATIENTSF33AG005654 · NIA · UNIVERSITY OF SOUTH FLORIDA · PI SOKOLOVSKY, JAY H · 1994 to 1994
–
NCATS NIH HHS UL1 TR000064NIA NIH HHS F33 AG005654
6 · The paper itself

Abstract

objectiveThe objective of this study was to determine predictive factors for pain-related emergency department returns in middle-aged and older adults. Design, Setting, and Subjects. This was a subanalysis of patients > 55 years of age enrolled in a prospective observational study of adult patients presenting within 30 days of an index visit to a large, urban, academic center.

methodsDemographic and clinical data were collected and compared to determine significant differences between patients who returned for pain and those who did not. Multiple logistic regressions were used to determine significant predictive variables for return visits.

resultsThe majority of the 130 enrolled patients > 55 years of age returned for pain (57%), were African American (78%), were younger (55-64 years old, 67%), had a high emergency department acuity level (level 1 or 2) at their index visit (56%), had low health literacy (Rapid Estimate of Adult Literacy in Medicine [REALM] score, 62%), lived in an area of extreme deprivation (69%), and were admitted (61%) during their index visit. Age (odds ratio [OR] = 0.9, 95% CI = 0.8-0.9, P = 0.047), health literacy (REALM scores; OR = 3.1, 95% CI = 1.3-7.5, P = 0.011), and index visit pain scores (OR = 1.1, 95% CI = 1.0-1.2, P = 0.004) were predictive of emergency department returns for pain in middle-aged and older adults.

conclusionsThe likelihood of emergency department return visits for pain in middle-aged and older adults decreased with older age, increased with higher health literacy (REALM scores), and increased with increase in pain scores.

Indexed as

Emergency Service, HospitalHealth LiteracyAgedHospitalizationHumansMiddle AgedPainProspective StudiesEmergency DepartmentOlder AdultsPainReturns

Identifiers

PMID32875332
PMCPMC8557807
OpenAlexW3082034510

What OpenQuestion holds

Textmetadata
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.