Evidence map›Paper›PMID 34313975›Full record

ArticleEuropean geriatric medicine2021

Improved outcomes with delayed admission to post-acute care: results of a natural experiment.

Siobhán McGettigan, Amy Farrell, Robert Murphy, Conall MacGearailt, Shaun T O'Keeffe, Eamon C Mulkerrin

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Article in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Siobhán McGettiganDepartment of Geriatric Medicine, University Hospital, Unit 4, Merlin Park University Hospital, Galway, Republic of Ireland.
Amy FarrellDepartment of Geriatric Medicine, University Hospital, Unit 4, Merlin Park University Hospital, Galway, Republic of Ireland.
Robert MurphyDepartment of Geriatric Medicine, University Hospital, Unit 4, Merlin Park University Hospital, Galway, Republic of Ireland.
Conall MacGearailtDepartment of Geriatric Medicine, University Hospital, Unit 4, Merlin Park University Hospital, Galway, Republic of Ireland.
Shaun T O'KeeffeDepartment of Geriatric Medicine, University Hospital, Unit 4, Merlin Park University Hospital, Galway, Republic of Ireland. sokeeffeanc@gmail.com.ORCID http://orcid.org/0000-0002-7682-5004
Eamon C MulkerrinDepartment of Geriatric Medicine, University Hospital, Unit 4, Merlin Park University Hospital, Galway, Republic of Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the effectiveness of a post-acute care scheme by exploiting a natural experiment.

methodsWe used a reduction in funding for an Irish PAC scheme based in private nursing homes as a natural experiment to explore the effectiveness of this scheme in a single large general hospital.

resultsCompared with an equivalent 3-month period in 2017 (pre-change, N = 169), those admitted to PAC in 2019 (post-change, N = 179), spent a median 6 days longer in acute care, although total duration spent in healthcare settings was the same. Compared with 2017, readmissions to hospital within 90 days of discharge (43/179 (24.0% v 58/169 (34.3%), p = 0.03) and discharge to long-term care from the PAC facility (3 (1.7%) v 14 (8.3%), p = 0.004) were significantly lower in 2019.

conclusionOur results suggest that the longer stay in acute care and shorter stay in PAC was beneficial for patients and led to improved outcomes.

Indexed as

HospitalizationSubacute CareHospitalsHumansNursing HomesPatient DischargeFrailtyIntermediate careNatural experimentPost-acute care

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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.