Evidence map›Paper›PMID 35904003›Full record

Observational studyAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2022

Emergency department condition acuity, length of stay, and revisits among deaf and hard-of-hearing patients: A retrospective chart review.

Tyler G James, M David Miller, Michael M McKee, Meagan K Sullivan, Jason Rotoli, Thomas A Pearson, Elham Mahmoudi, Julia R Varnes, Jee Won Cheong

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Emergency department patient-centred care perspectives from deaf and hard-of-hearing patients.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  7. Observational
  8. Emergency department condition acuity, length of stay, and revisits among deaf and hard-of-hearing patients: A retrospective chart review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    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

9 authors.

Tyler G JamesDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-0694-4702
M David MillerSchool of Human Development and Organizational Studies in Education, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-3506-1167
Michael M McKeeDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Meagan K SullivanUnaffiliated Researcher, Gainesville, Florida, USA.
Jason RotoliDepartment of Emergency Medicine, University of Rochester Medical Center, Rochester, New York, USA.ORCID 0000-0002-1251-4469
Thomas A PearsonDepartment of Epidemiology, University of Florida, Gainesville, Florida, USA.
Elham MahmoudiDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-9746-8165
Julia R VarnesDepartment of Health Services Research Management and Policy, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-2356-8761
Jee Won CheongDepartment of Health Education and Behavior, University of Florida, Gainesville, Florida, USA.ORCID 0000-0001-6033-7180

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Development of a conceptual model of emergency department utilization among deaf and hard-of-hearing patients: A mixed methods studyR36HS027537 · AHRQ · UNIVERSITY OF FLORIDA · PI JAMES, TYLER G · 2020 to 2020
$41k
AHRQ HHS R36 HS027537NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR001427
6 · The paper itself

Abstract

objectiveDeaf and hard-of-hearing (DHH) patients are understudied in emergency medicine health services research. Theory and limited evidence suggest that DHH patients are at higher risk of emergency department (ED) utilization and poorer quality of care. This study assessed ED condition acuity, length of stay (LOS), and acute ED revisits among DHH patients. We hypothesized that DHH patients would experience poorer ED care outcomes.

methodsWe conducted a retrospective chart review of a single health care system using data from a large academic medical center in the southeast United States. Data were received from the medical center's data office, and we sampled patients and encounters from between June 2011 and April 2020. We compared DHH American Sign Language (ASL) users (n = 108), DHH English speakers (n = 358), and non-DHH English speakers (n = 302). We used multilevel modeling to assess the differences among patient segments in outcomes related to ED use and care.

resultsAs hypothesized, DHH ASL users had longer ED LOS than non-DHH English speakers, on average 30 min longer. Differences in ED condition acuity, measured through Emergency Severity Index and triage pain scale, were not statistically significant. DHH English speakers represented a majority (61%) of acute ED revisit encounters.

conclusionsOur study identified that DHH ASL users have longer ED LOS than non-DHH English speakers. Additional research is needed to further explain the association between DHH status and ED care outcomes (including ED LOS and acute revisit), which may be used to identify intervention targets to improve health equity.

Indexed as

Persons with Hearing DisabilitiesEmergency Service, HospitalHumansLength of StayRetrospective StudiesTriageUnited Statescondition acuitydeaf and hard-of-hearingemergency departmenthealth care qualitylength of stay

Identifiers

PMID35904003
PMCPMC9671827

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.