Evidence map›Paper›PMID 34336017›Full record

ArticleArchives of medical science : AMS2021

Length of stay and readmission in older adults hospitalized for heart failure.

Cherinne Arundel, Phillip H Lam, Charles Faselis, Helen M Sheriff, Daniel J Dooley, Charity Morgan, Gregg C Fonarow, Wilbert S Aronow, Richard M Allman, Ali Ahmed

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of medical science : AMS, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Predicting Hospitalization among Medicaid Home- and Community-Based Services Users Using Machine Learning Methods.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  7. Article
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

10 authors.

Cherinne ArundelVeterans Affairs Medical Center, Washington, DC, USA.
Phillip H LamVeterans Affairs Medical Center, Washington, DC, USA.
Charles FaselisVeterans Affairs Medical Center, Washington, DC, USA.
Helen M SheriffVeterans Affairs Medical Center, Washington, DC, USA.
Daniel J DooleyGeorgetown University, Washington, DC, USA.
Charity MorganVeterans Affairs Medical Center, Washington, DC, USA.
Gregg C FonarowUniversity of California, Los Angeles, CA, USA.
Wilbert S AronowWeschester Medical Center, Valhalla, NY, USA.
Richard M AllmanGeorge Washington University, Washington, DC, USA.
Ali AhmedVeterans Affairs Medical Center, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHospital length of stay (LoS) and hospital readmissions are metrics of healthcare performance. We examined the association between these two metrics in older patients hospitalized with decompensated heart failure (HF). MATERIAL AND

methodsEight thousand and forty-nine patients hospitalized for HF in 106 U.S. hospitals had a median LoS of 5 days; among them, 3777 had a LoS > 5 days. Using propensity scores for LoS > 5 days, we assembled 2723 pairs of patients with LoS 1-5 vs. > 5 days. The matched cohort of 5446 patients was balanced on 40 baseline characteristics. We repeated the above process in 7045 patients after excluding those with LoS > 10 days, thus assembling a second matched cohort of 2399 pairs of patients with LoS 1-5 vs. 6-10 days. Hazard ratios (HR) and 95% confidence intervals (CI) for outcomes associated with longer LoS were estimated in matched cohorts.

resultsIn the primary matched cohort (

conclusionsIn propensity score-matched balanced cohorts of patients with HF, a longer LoS was independently associated with poor outcomes, which persisted when LoS > 10 days were excluded.

Indexed as

30-day all-cause readmissionall-cause mortalityheart failurelength of stay

Identifiers

PMID34336017
PMCPMC8314416

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.