Evidence map›Paper›PMID 33198843›Full record

ArticlePrehospital and disaster medicine2021

All-Cause Hospitalizations after Large-Scale Hurricanes among Older Adults: A Self-Controlled Case Series Study.

Sue Anne Bell, Theodore J Iwashyna, Xingyu Zhang, Bingxin Chen, Matthew A Davis

Open access · greenAbstract read
In one paragraph

Article in Prehospital and disaster medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 30% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  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

5 authors at 1 institution in 1 country.

Sue Anne BellDepartment of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, MichiganUSA.ORCID https://orcid.org/0000-0002-6890-2006
Theodore J IwashynaInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MichiganUSA.
Xingyu ZhangDepartment of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, MichiganUSA.
Bingxin ChenDepartment of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, MichiganUSA.
Matthew A DavisDepartment of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, MichiganUSA.
University of Michigan · US

Funding

The Home Safe Study: Testing the feasibility of a respondent-driven sampling strategy among dementia home care workersK23AG059890 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BELL, SUSAN ANNE · 2018 to 2022
$1.0M
NIA NIH HHS K23 AG059890
6 · The paper itself

Abstract

introductionUnderstanding the drivers of health care utilization patterns following disasters can better support health planning. This study characterized all-cause hospitalizations among older Americans after eight large-scale hurricanes. STUDY

objectiveThe objective of this study was to characterize all-cause hospitalizations for any cause among older Americans in the 30 days after eight large-scale hurricanes.

methodsA self-controlled case series study among Medicare beneficiaries (age 65+) exposed to one of eight hurricanes was conducted. The predicted probability of sociodemographic factors associated with hospitalization using logit models was estimated.

resultsHurricane Sandy (2012) had the highest post-hurricane admission rate, a 23% increase (incidence rate ratio [IRR] = 1.23; 95% CI, 1.22-1.24), while Hurricane Irene in 2011 had only a 10% increase (IRR = 1.10; 95% CI, 1.09-1.11). Higher likelihood of hospitalization occurring after hurricanes included being 85 or older (36.8% probability of hospitalization; 95% CI, 34.7-39.0) and being dually eligible for Medicare and Medicaid (62.8%; 95% CI, 60.7-64.9).

conclusionPlanning to address the surge in hospitalization for a longer time period after hurricanes and interventions targeted to support aging Americans are needed.

Indexed as

Cyclonic StormsDisastersAgedHospitalizationHumansMedicareUnited Statesdelivery of health caredisasterdisaster preparednessolder adults

Identifiers

PMID33198843
PMCPMC7853425
OpenAlexW3105708343

What OpenQuestion holds

Textmetadata
LicenceTDM
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.