Evidence map›Paper›PMID 33469806›Full record

ArticleDigestive diseases and sciences2021

Thirty-Day Readmission Among Patients with Alcoholic Acute Pancreatitis.

Pedro Palacios Argueta, Miguel Salazar, Ishaan Vohra, Juan E Corral, Frank J Lukens, John J Vargo, Prabhleen Chahal, C Roberto Simons-Linares

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 24 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Pedro Palacios ArguetaInternal Medicine Department, John Stroger Hospital of Cook County, Rush University, Chicago, IL, USA.ORCID 0000-0001-7206-7739
Miguel SalazarGastroenterology, Hepatology and Nutrition Department, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Ishaan VohraInternal Medicine Department, John Stroger Hospital of Cook County, Rush University, Chicago, IL, USA.
Juan E CorralGastroenterology and Hepatology Department, Mayo Clinic Florida, Jacksonville, FL, USA.
Frank J LukensGastroenterology and Hepatology Department, Mayo Clinic Florida, Jacksonville, FL, USA.
John J VargoGastroenterology, Hepatology and Nutrition Department, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Prabhleen ChahalGastroenterology, Hepatology and Nutrition Department, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
C Roberto Simons-LinaresGastroenterology, Hepatology and Nutrition Department, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. simonsc@ccf.org.ORCID 0000-0002-5586-3722
Cleveland Clinic · USJacksonville College · USJohn H. Stroger, Jr. Hospital of Cook County · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAlcoholic acute pancreatitis (AAP) comprises the second most common cause of acute pancreatitis in the USA, and there is lack of data regarding 30-day specific readmission causes and predictors. We aim to identify 30-day readmission rate, causes, and predictors of readmission.

methodsRetrospective analysis of the 2016 National Readmission Database of adult patients readmitted within 30 days after an index admission for AAP.

resultsTotally, 76,609 AAP patients were discharged from the hospital in 2016. The 30-day readmission rate was 12%. The main cause of readmission was another episode of AAP. Readmission was not associated with higher mortality (1.3% vs. 1.2%; P = 0.21) or prolonged length of stay (5.2 vs. 5.0 days; P = 0.06). The total health care economic burden was $354 million in charges and $90 million in costs. Independent predictors of readmission were having Medicaid insurance, a Charlson comorbidity index score ≥ 3, use of total parenteral nutrition, opioid abuse disorder, prior pancreatic cyst, chronic alcoholic pancreatitis, and other chronic pancreatitis. Obesity was associated with lower odds of readmission.

conclusionReadmission rate for AAP is high and its primary cause are recurrent episodes of AAP. Alcohol and substance abuse pose a high burden on our health care system. Public health strategies should be targeted to provide alcohol abuse disorder rehabilitation and cessation resources to alleviate the burden on readmission, the health care system and to improve patient outcomes.

Indexed as

Patient ReadmissionDatabases, FactualFemaleHospital ChargesHospital CostsHumansInpatientsMaleMiddle AgedPancreatitis, AlcoholicRecurrenceRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsUnited States30-Day readmissionAcute alcohol pancreatitisAlcohol abusePredictors of readmissionReadmission

Identifiers

PMID33469806
OpenAlexW3123519661

What OpenQuestion holds

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Registered trials

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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.