Evidence map›Paper›PMID 35803330›Full record

ArticleArchives of physical medicine and rehabilitation2022

Association of Function, Symptoms, and Social Support Reported in Standardized Outpatient Clinic Questionnaires With Subsequent Hospital Discharge Disposition and 30-Day Readmissions.

Tamra Keeney, Minji K Lee, Jeffrey R Basford, Andrea Cheville

Open access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 2 institutions in 1 country.

Tamra KeeneyDivision of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA; Center for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital, Boston, MA; Department of Health Services, Policy & Practice, Brown University, School of Public Health, Providence, RI. Electronic address: TKeeney1@mgh.harvard.edu.
Minji K LeeKern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
Jeffrey R BasfordDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.
Andrea ChevilleKern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN; Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USBrown University · US

Funding

National Research Service AwardT32HS000011 · AHRQ · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 1986 to 2024
$6.1M
AHRQ HHS T32 HS000011
6 · The paper itself

Abstract

objectiveTo determine whether patient-reported information, routinely collected in an outpatient setting, is associated with readmission within 30 days of discharge and/or the need for post-acute care after a subsequent hospital admission.

designRetrospective cohort study. Six domains of patient-reported information collected in the outpatient setting (psychological distress, respiratory symptoms, musculoskeletal pain, family support, mobility, and activities of daily living [ADLs]) were linked to electronic health record hospitalization data. Mixed effects logistic regression models with random intercepts were used to identify the association between the 6 domains and outcomes.

settingOutpatient clinics and hospitals in a Midwestern health system.

participants7671 patients who were hospitalized 11,445 times between May 2004 and May 2014 (N=7671).

interventionNone.

main outcome measures30-day hospital readmission and discharge home vs facility.

resultsDomains were significantly associated with 30-day readmission and placement in a facility. Specifically, mobility (odds ratio [OR]=1.30; 95% confidence interval [CI], 1.16, 1.46), ADLs (OR=1.27; 95% CI, 1.13, 1.42), respiratory symptoms (OR=1.26; 95% CI, 1.12, 1.41), and psychological distress (OR=1.20; 95% CI, 1.07, 1.35) had the strongest associations with 30-day readmission. The ADL (OR=2.52; 95% CI, 2.26, 2.81), mobility (OR=2.35; 95% CI, 2.10, 2.63), family support (OR=2.28; 95% CI, 1.98, 2.62), and psychological distress (OR=1.38; 95% CI, 1.25, 1.52) domains had the strongest associations with discharge to an institution.

conclusionsPatient-reported function, symptoms, and social support routinely collected in outpatient clinics are associated with future 30-day readmission and discharge to an institutional setting. Whether these data can be leveraged to guide interventions to address patient needs and improve outcomes requires further research.

Indexed as

Patient DischargePatient ReadmissionActivities of Daily LivingAmbulatory Care FacilitiesHospitalsHumansRetrospective StudiesSocial SupportSurveys and QuestionnairesHospital readmissionPatient-reported outcome measuresRehabilitationSubacute care

Identifiers

PMID35803330
PMCPMC10205419
OpenAlexW4284992929

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.