Evidence map›Paper›PMID 34744433›Full record

ArticleClinical interventions in aging2021

Risk Factors for Hospital Readmission and Death After Discharge of Older Adults from Acute Geriatric Units: Taking the Rank of Admission into Account.

Fabien Visade, Genia Babykina, François Puisieux, Frédéric Bloch, Anne Charpentier, Céline Delecluse, Gilles Loggia, Pascale Lescure, Jadwiga Attier-Żmudka, Cédric Gaxatte and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Clustering of recurrent events data.Journal of applied statistics · 2025
    Article
  9. Article
  10. Article
  11. Predictors of hospital readmission rate in geriatric patients.Aging clinical and experimental research · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

12 authors at 6 institutions in 1 country.

Fabien VisadeUniversity Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, F-59000, France.ORCID 0000-0002-6476-4195
Genia BabykinaUniversity Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, F-59000, France.
François PuisieuxDepartment of Geriatrics, CHU Lille, Lille, F-59000, France.
Frédéric BlochDepartment of Geriatrics, CHU Amiens-Picardie, Amiens, F-80054, France.ORCID 0000-0002-6046-7097
Anne CharpentierDepartment of Geriatrics, CHU Lille, Lille, F-59000, France.
Céline DelecluseGeriatrics Department, Lille Catholic Hospitals, Lille, F-59000, France.
Gilles LoggiaUNICAEN, INSERM, COMETE, Normandie Univ, Caen, France.
Pascale LescureDepartment of Geriatrics, Normandie Univ, UNICAEN, CHU de Caen Normandie, Caen, France.
Jadwiga Attier-ŻmudkaGeriatric Department, General Hospital of Saint-Quentin, Saint-Quentin, France.
Cédric GaxatteDepartment of Geriatrics, CHU Lille, Lille, F-59000, France.
Guillaume DeschasseUniversity Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, F-59000, France.
Jean-Baptiste BeuscartUniversity Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, F-59000, France.
Centre Hospitalier Universitaire de Lille · FRUniversité Catholique de Lille · FRCentre Hospitalier de Saint-Quentin · FRCentre Hospitalier Universitaire Amiens-Picardie · FRInserm · FRNormandie Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the impact of the number of hospital readmissions on the risks of further hospital readmission and death after adjustment for a range of risk factors.

methodsWe performed a multicentre prospective study of the DAMAGE cohort in the Hauts-de-France region of France. Patients aged 75 and over hospitalized initially in an acute geriatric unit (AGU) were included and followed up for 12 months. The risk of hospital readmission was analyzed using a Cox model, and its extension for recurrent events and the risk of death were analyzed using a Cox model for time-dependent variables.

resultsA total of 3081 patients were included (mean (SD) age: 86.4 (5.5)). In the multivariate analysis, the relative risk (95% confidence interval [CI]) of hospital readmission rose progressively to 2.66 (1.44; 5.14), and the risk of death rose to 2.01 (1.23; 3.32) after five hospital admissions, relative to a patient with no hospital readmissions. The number of hospital readmissions during the follow-up period was the primary risk factor and the best predictor of the risk of hospital readmission and the risk of death.

conclusionHospital readmission is the primary risk factor for further hospital readmissions and for death in older subjects discharged from an AGU.

Indexed as

Patient DischargePatient ReadmissionAgedAged, 80 and overHospitalizationHumansProspective StudiesRisk Factorsacute geriatric unitdeathhospital readmissionolder patientsrecurrent eventsrisk factors

Identifiers

PMID34744433
PMCPMC8565893
OpenAlexW3210258864

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.