Evidence map›Paper›PMID 35354615›Full record

SynthesisBMJ open2022

Applicability of predictive models for 30-day unplanned hospital readmission risk in paediatrics: a systematic review.

Ines Marina Niehaus, Nina Kansy, Stephanie Stock, Jörg Dötsch, Dirk Müller

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
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  9. Observational
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

5 authors.

Ines Marina NiehausDepartment of Business Administration and Health Care Management, University of Cologne, Cologne, Germany niehaus@wiso.uni-koeln.de.ORCID 0000-0002-4214-6898
Nina KansyDepartment of Business Administration and Health Care Management, University of Cologne, Cologne, Germany.ORCID 0000-0001-8195-7717
Stephanie StockInstitute for Health Economics and Clinical Epidemiology, University of Cologne, Cologne, Germany.
Jörg DötschDepartment of Paediatrics and Adolescent Medicine, University Hospital Cologne, Cologne, Germany.ORCID 0000-0003-1529-7647
Dirk MüllerInstitute for Health Economics and Clinical Epidemiology, University of Cologne, Cologne, Germany.ORCID 0000-0002-5576-0192

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo summarise multivariable predictive models for 30-day unplanned hospital readmissions (UHRs) in paediatrics, describe their performance and completeness in reporting, and determine their potential for application in practice.

designSystematic review. DATA SOURCE: CINAHL, Embase and PubMed up to 7 October 2021. ELIGIBILITY CRITERIA: English or German language studies aiming to develop or validate a multivariable predictive model for 30-day paediatric UHRs related to all-cause, surgical conditions or general medical conditions were included. DATA EXTRACTION AND SYNTHESIS: Study characteristics, risk factors significant for predicting readmissions and information about performance measures (eg, c-statistic) were extracted. Reporting quality was addressed by the 'Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis' (TRIPOD) adherence form. The study quality was assessed by applying six domains of potential biases. Due to expected heterogeneity among the studies, the data were qualitatively synthesised.

resultsBased on 28 studies, 37 predictive models were identified, which could potentially be used for determining individual 30-day UHR risk in paediatrics. The number of study participants ranged from 190 children to 1.4 million encounters. The two most common significant risk factors were comorbidity and (postoperative) length of stay. 23 models showed a c-statistic above 0.7 and are primarily applicable at discharge. The median TRIPOD adherence of the models was 59% (P

conclusionPredictive models may be useful in identifying paediatric patients at increased risk of readmission. To support the application of predictive models, more attention should be placed on completeness in reporting, particularly for those items that may be relevant for implementation in practice.

Indexed as

Patient ReadmissionPediatricsChildComorbidityHospitalsHumansPatient Dischargehealth & safetyhealth services administration & managementpaediatricsrisk management

Identifiers

PMID35354615
PMCPMC8968996

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.