Observational studyJournal of general internal medicine2021
Factors Associated with Readmission Among General Internal Medicine Patients Experiencing Homelessness.
Observational study in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- Implementing a hospital-based case management intervention for people experiencing homelessness: the navigator program.BMC health services research · 2025Article
- Are tailored primary care services for social inclusion good value for money? A health economics evaluation with Monte-Carlo probabilistic sensitivity analysis comparing tailored social inclusion primary care services to mainstream primary care services for socially excluded people.International journal for equity in health · 2025Article
- Article
- Collection and Use of Social Determinants of Health Data in Inpatient General Internal Medicine Wards: A Scoping Review.Journal of general internal medicine · 2023Article
- Navigator programme for hospitalised adults experiencing homelessness: protocol for a pragmatic randomised controlled trial.BMJ open · 2022Article
- Acute injection-related infections requiring hospitalisation among people who inject drugs: Clinical features, microbiology and management.Drug and alcohol review · 2022Review
- Factors Associated With Hospital Readmission Among Patients Experiencing Homelessness.American journal of preventive medicine · 2022Article
- Readmission rates and predictors of avoidable readmissions in older adults in a tertiary care centre.Journal of family medicine and primary care · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople who are homeless have a higher burden of illness and higher rates of hospital admission and readmission compared to the general population. Identifying the factors associated with hospital readmission could help healthcare providers and policymakers improve post-discharge care for homeless patients.
objectiveTo identify factors associated with hospital readmission within 90 days of discharge from a general internal medicine unit among patients experiencing homelessness.
designThis prospective observational study was conducted at an urban academic teaching hospital in Toronto, Canada. Interviewer-administered questionnaires and chart reviews were completed to assess medical, social, processes of care, and hospitalization data. Multivariable logistic regression with backward selection was used to identify factors associated with a subsequent readmission and estimate odds ratios and 95% confidence intervals.
participantsAdults (N = 129) who were admitted to the general internal medicine service between November 2017 and November 2018 and who were homeless at the time of admission. MAIN MEASURES: Unplanned all-cause readmission to the study hospital within 90 days of discharge. KEY
resultsThirty-five of 129 participants (27.1%) were readmitted within 90 days of discharge. Factors associated with lower odds of readmission included having an active case manager (adjusted odds ratios [aOR]: 0.31, 95% CI, 0.13-0.76), having informal support such as friends and family (aOR: 0.25, 95% CI, 0.08-0.78), and sending a copy of the patient's discharge plan to a primary care physician who had cared for the patient within the last year (aOR: 0.44, 95% CI, 0.17-1.16). A higher number of medications prescribed at discharge was associated with higher odds of readmission (aOR: 1.12, 95% CI, 1.02-1.23).
conclusionInterventions to reduce hospital readmission for people who are homeless should evaluate tailored discharge planning and dedicated resources to support implementation of these plans in the community.
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Registered trials
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