Evidence map›Paper›PMID 34549493›Full record

ArticleGeriatrics & gerontology international2021

Characteristics associated with hospitalization within 30 days of geriatric intermediate care facility admission.

Seigo Mitsutake, Tatsuro Ishizaki, Shohei Yano, Rumiko Tsuchiya-Ito, Xueying Jin, Taeko Watanabe, Kazuaki Uda, Ian Livingstone, Nanako Tamiya

Abstract read
In one paragraph

Article in Geriatrics & gerontology international, 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

9 authors.

Seigo MitsutakeHuman Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.ORCID https://orcid.org/0000-0001-7005-9460
Tatsuro IshizakiHuman Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.ORCID https://orcid.org/0000-0002-1277-7293
Shohei YanoHuman Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Rumiko Tsuchiya-ItoHuman Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6817-6817
Xueying JinHealth Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.ORCID https://orcid.org/0000-0002-9641-1394
Taeko WatanabeHealth Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.
Kazuaki UdaHuman Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Ian LivingstonePanalgo, Boston, Massachusetts, USA.
Nanako TamiyaHealth Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.

Funding

Japan Society for the Promotion of Science 20H03924The Japanese Ministry of Health, Labour and Welfare H30-choju-ipan-007
6 · The paper itself

Abstract

aimTo identify facility-level characteristics associated with hospitalization within 30 days after admission to a geriatric intermediate care facility (GICF) (30-day hospitalization) in Japan.

methodsThis retrospective cohort study used nationwide long-term care insurance claims data and a national survey of long-term geriatric care facilities. The study population was residents admitted to GICFs between October 2016 and February 2018. The outcome variable was 30-day hospitalization. The independent variables were facility-level characteristics such as level of healthcare professionals.

resultsThe final sample for analysis comprised 282 991 residents of mean age ± SD, 85.8 ± 7.2 years, of whom 12 814 (4.5%) experienced 30-day hospitalization. In a multivariable logistic generalized estimating equation model adjusted for facility- and resident-level characteristics, and clustering GICFs, the odds of 30-day hospitalization were 0.906 times lower (95% confidence interval [CI] 0.857-0.958) among residents in a GICF with dental hygienist than in those in a facility without. Furthermore, the risk of 30-day hospitalization was lower among residents who had been admitted to a GICF with higher staffing levels of pharmacists (adjusted odds ratio [aOR] 0.941, 95% CI 0.899-0.985), registered nurses (aOR 0.931, 95% CI 0.880-0.986), care workers (aOR 0.920, 95% CI 0.879-0.964) and speech-language pathologists (aOR 0.926, 95% CI 0.874-0.982) than in those who had been admitted to a GICF with fewer of these healthcare professionals.

conclusionsTransitional care including dental hygienist or higher staffing levels of pharmacists, registered nurses, care workers and speech-language pathologists may be a more effective way to prevent 30-day hospitalization. Geriatr Gerontol Int 2021; 21: 1010-1017.

Indexed as

Intermediate Care FacilitiesAgedHospitalizationHumansLogistic ModelsRetrospective StudiesSkilled Nursing Facilitiesbig datacare transitionshealth serviceslong-term carepublic health

Identifiers

PMID34549493
PMCPMC9290842

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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.