Evidence map›Paper›PMID 34181237›Full record

ArticleJournal of racial and ethnic health disparities2022

Racial Disparities in 7-Day Readmissions from an Adult Hospital Medicine Service.

Aksharananda Rambachan, Yumiko Abe-Jones, Alicia Fernandez, Yalda Shahram

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

4 authors.

Aksharananda RambachanDivision of Hospital Medicine, University of California, San Francisco, 521 Parnassus Avenue, San Francisco, CA, 94143, USA. Aksharananda.rambachan@ucsf.edu.ORCID 0000-0002-8506-5086
Yumiko Abe-JonesDivision of Hospital Medicine, University of California, San Francisco, 521 Parnassus Avenue, San Francisco, CA, 94143, USA.
Alicia FernandezDivision of General Internal Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, 1001 Potrero Ave, San Francisco, 94110, CA, USA.
Yalda ShahramDivision of Hospital Medicine, University of California, San Francisco, 521 Parnassus Avenue, San Francisco, CA, 94143, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth systems have targeted hospital readmissions to promote health equity as there may be racial and ethnic disparities across different patient groups. However, 7-day readmissions have been understudied in adult hospital medicine.

designThis is a retrospective study. We performed multivariable logistic regression between patient race/ethnicity and 7-day readmission. Mediation analysis was performed for limited English proficiency (LEP) status. Subgroup analyses were performed for patients with initial admissions for congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and cancer. PATIENTS: We identified all adults discharged from the adult hospital medicine service at UCSF Medical Center between July 2016 and June 2019. MAIN MEASURES: The primary outcome was 7-day all-cause readmission back to the discharging hospital.

resultsThere were 18,808 patients in our dataset who were discharged between July 2016 and June 2019. A total of 1,297 (6.9%) patients were readmitted within 7 days. Following multivariable regression, patients who identified as Black (OR 1.35, 95% CI 1.15-1.58, p <0.001) and patients who identified as Asian (OR 1.26, 95% CI 1.06-1.50, p = 0.008) had higher odds of readmission compared to white patients. Multivariable regression at the subgroup level for CHF, COPD, and cancer readmissions did not demonstrate significant differences between the racial and ethnic groups.

conclusionsBlack patients and Asian patients experienced higher rates of 7-day readmission than patients who identified as white, confirmed on adjusted analysis.

Indexed as

Hospital MedicinePulmonary Disease, Chronic ObstructiveAdultHealth PromotionHumansPatient ReadmissionRetrospective StudiesRisk FactorsUnited StatesHealth equityRacial disparitiesReadmissions

Identifiers

PMID34181237
PMCPMC9249686

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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.