Evidence map›Paper›PMID 36455563›Full record

ArticlePreventing chronic disease2022

Hospital Readmissions Among Veterans Within 90 Days of Discharge Following Initial Hospitalization for COVID-19.

Frances M Weaver, Meike Niederhausen, Alex Hickok, Allison C O'Neill, Howard S Gordon, Samuel T Edwards, Diana J Govier, Jason I Chen, Rebecca Young, Mary Whooley and 1 more

Abstract read
In one paragraph

Article in Preventing chronic disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

11 authors.

Frances M WeaverCenter of Innovation for Complex Chronic Healthcare, Hines VA Hospital, Hines, Illinois.
Meike NiederhausenCenter to Improve Veteran Involvement in Care, Portland VA Hospital, Portland, Oregon.
Alex HickokCenter to Improve Veteran Involvement in Care, Portland VA Hospital, Portland, Oregon.
Allison C O'NeillCenter to Improve Veteran Involvement in Care, Portland VA Hospital, Portland, Oregon.
Howard S GordonJesse Brown Veterans Affairs Medical Center and Veterans Affairs Center of Innovation for Complex Chronic Healthcare, Chicago, Illinois.
Samuel T EdwardsCenter to Improve Veteran Involvement in Care, Portland VA Hospital, Portland, Oregon.
Diana J GovierCenter to Improve Veteran Involvement in Care, Portland VA Hospital, Portland, Oregon.
Jason I ChenCenter to Improve Veteran Involvement in Care, Portland VA Hospital, Portland, Oregon.
Rebecca YoungCenter to Improve Veteran Involvement in Care, Portland VA Hospital, Portland, Oregon.
Mary WhooleySan Francisco Veterans Affairs Health Care System, and the University of California, San Francisco, California.
Denise M HynesCenter to Improve Veteran Involvement in Care, Portland VA Hospital, Portland, Oregon.

Funding

HSRD VA I01 HX002655HSRD VA IK6 HX003395
6 · The paper itself

Abstract

introductionSome patients experience ongoing sequelae after discharge, including rehospitalization; therefore, outcomes following COVID-19 hospitalization are of continued interest. We examined readmissions within 90 days of hospital discharge for veterans hospitalized with COVID-19 during the first 10 months of the pandemic in the US.

methodsVeterans hospitalized with COVID-19 at a Veterans Health Administration (VA) hospital from March 1, 2020, through December 31, 2020 were followed for 90 days after discharge to determine readmission rates.

resultsOf 20,414 veterans hospitalized with COVID-19 during this time period, 13% (n = 2,643) died in the hospital. Among survivors (n = 17,771), 16% (n = 2,764) were readmitted within 90 days of discharge, with a mean time to readmission of 21.6 days (SD = 21.1). Characteristics of the initial COVID-19 hospitalization associated with readmission included length of stay, mechanical ventilator use, higher comorbidity index score, current smoking, urban residence, discharged against medical advice, and hospitalized from September through December 2020 versus March through August 2020 (all P values <.02). Veterans readmitted from September through December 2020 were more often White, lived in a rural or highly rural area, and had shorter initial hospitalizations than veterans hospitalized earlier in the year.

conclusionApproximately 1 of 6 veterans discharged alive following a COVID-19 hospitalization from March 1 through December 31, 2020, were readmitted within 90 days. The longer the hospital stay, the greater the likelihood of readmission. Readmissions also were more likely when the initial admission required mechanical ventilation, or when the veteran had multiple comorbidities, smoked, or lived in an urban area. COVID-19 hospitalizations were shorter from September through December 2020, suggesting that hospital over-capacity may have resulted in earlier discharges and increased readmissions. Efforts to monitor and provide support for patients discharged in high bed-capacity situations may help avoid readmissions.

Indexed as

COVID-19VeteransHospitalizationHumansPatient DischargePatient Readmission

Identifiers

PMID36455563
PMCPMC9717697

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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.