ArticleBMJ (Clinical research ed.)2022
Mortality among US veterans after emergency visits to Veterans Affairs and other hospitals: retrospective cohort study.
Article in BMJ (Clinical research ed.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Veterans Health Administration (VA) vs. Non-VA Healthcare Quality: A Systematic Review.Journal of general internal medicine · 2023Pooled it
- Artificial Intelligence-Enabled Serial Electrocardiograms for Prediction of All-Cause Mortality in Secondary Care Settings.JACC. Advances · 2026Article
- Establishing criteria for emergency department-based episode of care definitions: a modified Delphi study.BMJ open · 2026Article
- Factors Associated With Veterans Use of Community vs VA Emergency Departments.JAMA network open · 2025Article
- The Once and Future Veterans Health Administration.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Veteran Mental Health Emergency Care Utilization Following SARS-CoV-2 Infection.Health services research · 2025Article
- Scholarly Activity Among VA Podiatrists: A Cross-Sectional Study.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Trends in Veteran hospitalizations and associated readmissions and emergency department visits during the MISSION Act era.Health services research · 2024Article
- Health-related outcomes among veterans identified as being at increased risk during a crisis line contact.Psychological services · 2024Article
- Heat and Cold Wave-Related Mortality Risk among United States Veterans with Chronic Obstructive Pulmonary Disease: A Case-Crossover Study.Environmental health perspectives · 2024Article
- Observational
- Strategies to Assess the Effect of Continuous Positive Airway Pressure on Long-Term Clinically Important Outcomes among Patients with Symptomatic Obstructive Sleep Apnea: An Official American Thoracic Society Workshop Report.Annals of the American Thoracic Society · 2023Article
- Mortality Among US Veterans Admitted to Community vs Veterans Health Administration Hospitals for COVID-19.JAMA network open · 2023Article
- Continuing the transformation: charting the path for the future delivery of Veteran emergency care.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveTo measure and compare mortality outcomes between dually eligible veterans transported by ambulance to a Veterans Affairs hospital and those transported to a non-Veterans Affairs hospital.
designRetrospective cohort study using data from medical charts and administrative files.
settingEmergency visits by ambulance to 140 Veteran Affairs and 2622 non-Veteran Affairs hospitals across 46 US states and the District of Columbia in 2001-18.
participantsNational cohort of 583 248 veterans (aged ≥65 years) enrolled in both the Veterans Health Administration and Medicare programs, who resided within 20 miles of at least one Veterans Affairs hospital and at least one non-Veterans Affairs hospital, in areas where ambulances regularly transported patients to both types of hospitals.
interventionEmergency treatment at a Veterans Affairs hospital.
main outcome measureDeaths in the 30 day period after the ambulance ride. Linear probability models of mortality were used, with adjustment for patients' demographic characteristics, residential zip codes, comorbid conditions, and other variables.
resultsOf 1 470 157 ambulance rides, 231 611 (15.8%) went to Veterans Affairs hospitals and 1 238 546 (84.2%) went to non-Veterans Affairs hospitals. The adjusted mortality rate at 30 days was 20.1% lower among patients taken to Veterans Affairs hospitals than among patients taken to non-Veterans Affairs hospitals (9.32 deaths per 100 patients (95% confidence interval 9.15 to 9.50)
conclusionsThese findings indicate that within a month of being treated with emergency care at Veterans Affairs hospitals, dually eligible veterans had substantially lower risk of death than those treated at non-Veterans Affairs hospitals. The nature of this mortality advantage warrants further investigation, as does its generalizability to other types of patients and care. Nonetheless, the finding is relevant to assessments of the merit of policies that encourage private healthcare alternatives for veterans.
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Registered trials
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