ArticleNursing outlook
Nursing documentation of symptoms is associated with higher risk of emergency department visits and hospitalizations in homecare patients.
Article in Nursing outlook. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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.
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.
Who cites it
20 citing papers in PubMed, 38 citations in OpenAlex.
- Article
- Leveraging Natural Language Processing for Symptom Identification in Acute Myeloid Leukemia Using Clinical Notes from Electronic Health Records.Cancer nursing · 2026Article
- Identifying and Reducing Stigmatizing Language in Home Health Care With a Natural Language Processing-Based System (ENGAGE): Protocol for a Mixed Methods Study.JMIR research protocols · 2025Article
- Using telecommunication dialogue and nursing documentation to predict the risk of emergency room visit in a web-based telehealth programme.European heart journal. Digital health · 2025Article
- Advancing Global Cancer Symptom Science: Insights and Strategies From the Inaugural Cancer Symptom Science Expert Meeting.Oncology nursing forum · 2025Article
- Advancing Global Cancer Symptom Science: Insights and Strategies from the Inaugural Cancer Symptom Science Expert Meeting.Seminars in oncology nursing · 2025Article
- Risk Factors for Emergency Department Visits or Hospitalizations Among Older Adults With Urinary Incontinence in Home Health Care.Journal of gerontological nursing · 2025Article
- Applying natural language processing to understand symptoms among older adult home healthcare patients with urinary incontinence.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Article
- Exploring Natural Language Processing through an Exemplar Using YouTube.International journal of environmental research and public health · 2024Article
- Natural Language Processing Accurately Differentiates Cancer Symptom Information in Electronic Health Record Narratives.JCO clinical cancer informatics · 2024Article
- Natural Language Processing Applied to Clinical Documentation in Post-acute Care Settings: A Scoping Review.Journal of the American Medical Directors Association · 2024Article
- Social Risk Factors are Associated with Risk for Hospitalization in Home Health Care: A Natural Language Processing Study.Journal of the American Medical Directors Association · 2023Article
- Home Healthcare Patients With Distinct Psychological, Cognitive, and Behavioral Symptom Profiles and At-Risk Subgroup for Hospitalization and Emergency Department Visits Using Latent Class Analysis.Clinical nursing research · 2023Article
- Natural Language Processing of Nursing Notes: An Integrative Review.Computers, informatics, nursing : CIN · 2023Review
- Documentation of hospitalization risk factors in electronic health records (EHRs): a qualitative study with home healthcare clinicians.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Clinical notes: An untapped opportunity for improving risk prediction for hospitalization and emergency department visit during home health care.Journal of biomedical informatics · 2022Article
- Capturing Concerns about Patient Deterioration in Narrative Documentation in Home Healthcare.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- Detecting Language Associated With Home Healthcare Patient's Risk for Hospitalization and Emergency Department Visit.Nursing researchArticle
- Characterizing symptom clusters for older adults with urinary incontinence in home healthcare.Geriatric nursing (New York, N.Y.)Article
- Characterizing Pain Leading to Emergency Medical Services Activation in Heart Failure.The Journal of cardiovascular nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundNurses often document patient symptoms in narrative notes. PURPOSE: This study used a technique called natural language processing (NLP) to: (1) Automatically identify documentation of seven common symptoms (anxiety, cognitive disturbance, depressed mood, fatigue, sleep disturbance, pain, and well-being) in homecare narrative nursing notes, and (2) examine the association between symptoms and emergency department visits or hospital admissions from homecare.
methodNLP was applied on a large subset of narrative notes (2.5 million notes) documented for 89,825 patients admitted to one large homecare agency in the Northeast United States.
findingsNLP accurately identified symptoms in narrative notes. Patients with more documented symptom categories had higher risk of emergency department visit or hospital admission. DISCUSSION: Further research is needed to explore additional symptoms and implement NLP systems in the homecare setting to enable early identification of concerning patient trends leading to emergency department visit or hospital admission.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.