Evidence map›Paper›PMID 36310448›Full record

ArticleHealth services research2023

Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients.

Liberty Greene, Matthew L Maciejewski, Janet Grubber, Valerie A Smith, Dan V Blalock, Donna M Zulman

Abstract read
In one paragraph

Article in Health services research, 2023. 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. Trial
  2. Observational
  3. Article
  4. Article
  5. Article
  6. The association between social risks and days at home for older veterans.Journal of the American Geriatrics Society · 2024
    Article
  7. Article
  8. Article
  9. 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

6 authors.

Liberty GreeneCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA.
Matthew L MaciejewskiCenter for Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.
Janet GrubberCenter for Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.
Valerie A SmithCenter for Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.ORCID 0000-0001-5170-9819
Dan V BlalockCenter for Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, North Carolina, USA.
Donna M ZulmanCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA.ORCID 0000-0001-8904-2810

Funding

Telehealth Treatment of Veterans with Alcohol Misuse at Risk for Cardiovascular DiseaseIK2HX003085 · VA · DURHAM VA MEDICAL CENTER · PI BLALOCK, DANIEL V · 2021 to 2025
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HSRD VA I01 HX003269HSRD VA IK2 HX003085HSRD VA IK6 HX003157
6 · The paper itself

Abstract

RESEARCH

objectiveTo identify patient-reported social risk, behavioral, and health factors associated with emergency department (ED) utilization in high-risk Veterans Affairs (VA) patients. DATA SOURCES: Patient survey, VA, Medicare data. STUDY

designProspective cohort study using multivariable logistic regression to identify patient-reported factors associated with all-cause and ambulatory care sensitive condition (ACSC)-related ED visits among VA patients at high risk for hospitalization or death. DATA EXTRACTION

methodsPatient-reported measures derived from a 2018 survey sent to 10,000 VA patients; clinical and demographic characteristics derived from VA data; ED visits derived from VA and Medicare claims. PRINCIPAL

findingsAmong 4680 survey respondents, 52.5% and 16.3% experienced an all-cause or ACSC-related ED visit in the following year, respectively. An ED visit was more likely among individuals with functional status limitations (6.0% points (Confidence Interval [CI] 0.017-0.103)) and transportation barriers (5.2% points [CI 0.005-0.099]). An ACSC-related ED visit was more likely among individuals with functional status limitations (3.2% points [CI 0.003-0.062]) and self-rated poorer health (7.4% points (CI 0.030-0.119) poor; 6.2% points (CI 0.029-0.096) fair; 4.1% points (CI 0.009-0.073) good; compared with excellent/very good).

conclusionsPatient-reported factors not present in most electronic health records were significantly associated with future ED visits in high-risk VA patients.

Indexed as

MedicareUnited States Department of Veterans AffairsAgedEmergency Service, HospitalHospitalizationHumansPatient Reported Outcome MeasuresProspective StudiesRetrospective StudiesUnited Statesambulatory care sensitive conditionselectronic health recordemergency department visitspatient complexitysocial and behavioral risk factorsveterans

Identifiers

PMID36310448
PMCPMC10012238

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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.