Evidence map›Paper›PMID 34635681›Full record

Observational studyScientific reports2021

Clinical characteristics and risk factors of preventable hospital readmissions within 30 days.

Elsemieke A I M Meurs, Carl E H Siegert, Elien Uitvlugt, Najla El Morabet, Ruth J Stoffels, Dirk W Schölvinck, Laura F Taverne, Pim B J E Hulshof, Hilde J S Ten Horn, Philou C W Noordman and 5 more

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

15 authors.

Elsemieke A I M MeursDepartment of Clinical Pharmacy, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Carl E H SiegertDepartment of Internal Medicine, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Elien UitvlugtDepartment of Clinical Pharmacy, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Najla El MorabetDepartment of Clinical Pharmacy, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Ruth J StoffelsDepartment of Quality and Improvement, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Dirk W SchölvinckDepartment of Gastroenterology, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Laura F TaverneDepartment of Cardiology, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Pim B J E HulshofDepartment of Internal Medicine, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Hilde J S Ten HornDepartment of Pulmonology, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Philou C W NoordmanDepartment of Surgery, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Josien van EsDepartment of Pulmonology, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Nicky van der HeijdeDepartment of Surgery, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Meike H van der ReeDepartment of Internal Medicine, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Maurice A A J van den BoschDepartment of Radiology, OLVG, Noord-Holland, Amsterdam, The Netherlands.
Fatma Karapinar-ÇarkitDepartment of Clinical Pharmacy, OLVG, Noord-Holland, Amsterdam, The Netherlands. F.Karapinar@olvg.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Knowledge regarding preventable hospital readmissions is scarce. Our aim was to compare the clinical characteristics of potentially preventable readmissions (PPRs) with non-PPRs. Additionally, we aimed to identify risk factors for PPRs. Our study included readmissions within 30 days after discharge from 1 of 7 hospital departments. Preventability was assessed by multidisciplinary meetings. Characteristics of the readmissions were collected and 23 risk factors were analyzed. Of the 1120 readmissions, 125 (11%) were PPRs. PPRs occurred equally among different departments (p = 0.21). 29.6% of PPRs were readmitted by a practitioner of a different medical specialty than the initial admission (IA) specialist. The PPR group had more readmissions within 7 days (PPR 54% vs. non-PPR 44%, p = 0.03). The median LOS was 1 day longer for PPRs (p = 0.16). Factors associated with PPR were higher age (p = 0.004), higher socio-economic status (p = 0.049), fewer prior hospital admissions (p = 0.004), and no outpatient visit prior to readmission (p = 0.025). This study found that PPRs can occur at any department in the hospital. There is not a single type of patient that can easily be pinpointed to be at risk of a PPR, probably due to the multifactorial nature of PPRs.

Indexed as

AgedCross-Sectional StudiesFemaleHospitalizationHumansMaleMiddle AgedNeoplasmsPatient DischargePatient ReadmissionProspective StudiesQuality of Health CareRetrospective StudiesRisk AssessmentRisk Factors

Identifiers

PMID34635681
PMCPMC8505517

What OpenQuestion holds

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Registered trials

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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.