Evidence map›Paper›PMID 33712979›Full record

ArticleIrish journal of medical science2022

An assessment of race and gender-based biases among readmission predicting tools (HOSPITAL, LACE, and RAHF) in heart failure population.

Manjari Rani Regmi, Priyanka Parajuli, Nitin Tandan, Mukul Bhattarai, Ruby Maini, Odalys Estefania Lara Garcia, Maryam Bakare, Abhishek Kulkarni, Robert Robinson

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Article in Irish journal of medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 52% 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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Manjari Rani RegmiDepartment of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA. mregmi81@siumed.edu.ORCID http://orcid.org/0000-0003-4246-8456
Priyanka ParajuliDepartment of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA.
Nitin TandanDepartment of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA.
Mukul BhattaraiDivision of Cardiology, Southern Illinois University School of Medicine, Springfield, IL, USA.
Ruby MainiDepartment of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA.
Odalys Estefania Lara GarciaDepartment of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA.
Maryam BakareDepartment of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA.
Abhishek KulkarniDivision of Cardiology, Southern Illinois University School of Medicine, Springfield, IL, USA.
Robert RobinsonDepartment of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA.
Southern Illinois University School of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of our study is to retrospectively investigate if the HOSPITAL score, LACE index, and RAHF scale exhibit any bias based on gender and race in heart failure readmissions.

methodsThis is a retrospective cohort study with all adult medical patients discharged with congestive heart failure from 2016 to 2018 from Southern Illinois University School of Medicine Hospitalist service. The receiver operating characteristic (ROC) curve was constructed comparing prediction tools (HOSPITAL score, LACE index, and RAHF scale) performance based on gender and race by measuring the area under the curve (AUC). Absolute Between-ROC Area (ABROCA) values were calculated. All statistical analyses were performed using R version 3.6.2.

resultsThe performance of the HOSPITAL score in the majority and minority population showed a statistically significant difference between AUCs (0.714 and 0.633, p = 0.029) and an ABROCA of 0.081 indicating superior performance in predicting hospital readmissions in the majority group vs. the minority. The performance of RAHF score in females and males showed statistically significant differences between AUCs (0.567 and 0.527, p = 0.04) and an ABROCA of 0.04 indicating the superior performance of the RAHF score in females compared with males.

conclusionsOur study demonstrated that the HOSPITAL score and the RAHF scale showed significant differences in predicting 30-day readmissions risk based on race and gender, respectively, in heart failure patients, whereas the LACE index did not show any significant difference.

Indexed as

Heart FailurePatient ReadmissionAdultComorbidityEmergency Service, HospitalFemaleHospitalsHumansLength of StayMaleRetrospective StudiesRisk Factors30-day readmissionHeart failureHOSPITAL scoreLACE indexRAHF score

Identifiers

PMID33712979
OpenAlexW3135600455

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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.