Evidence map›Paper›PMID 34710627›Full record

ArticleInternational journal of nursing studies2022

Assessing the influence of patient language preference on 30 day hospital readmission risk from home health care: A retrospective analysis.

Allison Squires, Chenjuan Ma, Sarah Miner, Penny Feldman, Elizabeth A Jacobs, Simon A Jones

Open access · greenAbstract read
In one paragraph

Article in International journal of nursing studies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 3% of its field
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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  3. Home Health Care to Asian Americans: a Systematic Review.Journal of racial and ethnic health disparities · 2024
    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

6 authors at 4 institutions in 1 country.

Allison SquiresDirector, Florence S. Downs PhD Program, Rory Meyers College of Nursing, Research Associate Professor, Department of General Internal Medicine, Grossman School of Medicine, New York University, 433 First Avenue, 6th floor, New York, NY 10010, United States. Electronic address: aps6@nyu.edu.
Chenjuan MaRory Meyers College of Nursing, New York University, United States. Electronic address: cm4215@nyu.edu.
Sarah MinerWegman's School of Nursing, St. John Fischer College, Rochester, NY, United States. Electronic address: sminer@sjfc.edu.
Penny FeldmanCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY 10017, United States. Electronic address: Penny.Feldman@vnsny.org.
Elizabeth A JacobsMaine Medical Center Research Institute, MaineHealth, Scarborough, ME 04047, United States. Electronic address: EAJacobs@mmc.org.
Simon A JonesDepartment of Population Health, Division of General Internal Medicine, Grossman School of Medicine, New York University, New York, NY 10010, United States. Electronic address: Simon.Jones@nyulangone.org.
New York University · USMaine Medical Center · USSt. John Fisher College · USVNS Health · US

Funding

Language Barriers and Post-Acute Outcomes in Home Care: A Mixed Methods AnalysisR01HS023593 · AHRQ · NEW YORK UNIVERSITY · PI SQUIRES, ALLISON P · 2015 to 2017
$749k
AHRQ HHS R01 HS023593
6 · The paper itself

Abstract

backgroundIn home health care, language barriers are understudied. Language barriers between patients and providers are known to affect a variety of patient outcomes. How a patient's language preference influences hospital readmission risk from home health care has yet to be determined.

objectiveTo determine if home care patients' language preference is associated with their risk for hospital readmission from home health care within 30 days of hospital discharge.

designRetrospective cross-sectional study of hospital readmissions from an urban home health care agency's administrative records and the national electronic home health care record for the United States, captured between 2010 and 2015.

settingNew York City, New York, USA.

participantsThe dataset comprised 90,221 post-hospitalization patients and 6.5 million home health care visits.

methodsFirst, a Chi-square test was used to determine if there were significant differences in crude readmission rates based on language group. Inverse probability of treatment weighting was used to adjust for significant differences in known hospital readmission risk factors between to examine all-cause hospital readmission during a home health care stay. The final matched sample included 87,561 patients with a language preference of English, Spanish, Russian, Chinese, or Korean. English-speaking patients were considered the comparison group to the non-English speaking patients. A Marginal Structural Model was applied to estimate the impact of non-English language preference against English language preference on rehospitalization. The results of the marginal structural model were expressed as an odds ratio of likelihood of readmission to the hospital from home health care.

resultsHome health patients with a non-English language preference had a higher hospital readmission risk than English-speaking patients. Crude readmission rate for the limited English proficiency patients was 20.4% (95% CI, 19.9-21.0%) overall compared to 18.5% (95% CI, 18.7-19.2%) for English speakers (p < 0.001). Being a non-English-speaking patient was associated with an odds ratio of 1.011 (95% CI, 1.004-1.018) in increased hospital readmission rates from home health care (p = 0.001). There were also statistically significant differences in readmission rate by language group (p < 0.001), with Korean speakers having the lowest rate and Spanish speakers having the highest, when compared to English speakers.

conclusionsPeople with a non-English language preference have a higher readmission rate from home health care. Hospital and home healthcare agencies may need specialized care coordination services to reduce readmission risk for these patients. Tweetable abstract: A new US-based study finds that home care patients with language barriers are at higher risk for hospital readmission.

Indexed as

Home Care ServicesPatient ReadmissionCommunication BarriersCross-Sectional StudiesHospitalsHumansLanguageRetrospective StudiesUnited StatesHome careImmigrant healthLanguage barrierLimited English proficiencyReadmission

Identifiers

PMID34710627
PMCPMC9282680
OpenAlexW3203424954

What OpenQuestion holds

Textmetadata
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.