Evidence map›Paper›PMID 36697014›Full record

ArticleClinical medicine (London, England)2023

Rate and risk factors of in-hospital and early post-discharge mortality in patients admitted to an internal medicine ward.

Marco Vincenzo Lenti, Gabriele Croce, Alice Silvia Brera, Alessia Ballesio, Lucia Padovini, Giampiera Bertolino, Antonio Di Sabatino, Catherine Klersy, Gino Roberto Corazza

Open access · diamondAbstract read
In one paragraph

Article in Clinical medicine (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

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

  1. Pooled it
  2. Observational
  3. 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

9 authors at 3 institutions in 1 country.

Marco Vincenzo LentiFondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Gabriele CroceFondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Alice Silvia BreraFondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Alessia BallesioFondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Lucia PadoviniFondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Giampiera BertolinoFondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Antonio Di SabatinoFondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Catherine KlersyFondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Gino Roberto CorazzaFondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy gr.corazza@smatteo.pv.it.
University of Pavia · ITPoliclinico San Matteo Fondazione · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe sought to quantify in-hospital and early post-discharge mortality rates in hospitalised patients.

methodsConsecutive adult patients admitted to an internal medicine ward were prospectively enrolled. The rates of in-hospital and 4-month post-discharge mortality and their possible associated sociodemographic and clinical factors (eg Cumulative Illness Rating Scale [CIRS], body mass index [BMI], polypharmacy, Barthel Index) were assessed.

results1,451 patients (median age 80 years, IQR 69-86; 53% female) were included. Of these, 93 (6.4%) died in hospital, while 4-month post-discharge mortality was 15.9% (191/1,200). Age and high dependency were associated (p<0.01) with a higher risk of in-hospital (OR 1.04 and 2.15) and 4-month (HR 1.04 and 1.65) mortality, while malnutrition and length of stay were associated (p<0.01) with a higher risk of 4-month mortality (HR 2.13 and 1.59).

conclusionsSeveral negative prognostic factors for early mortality were found. Interventions addressing dependency and malnutrition could potentially decrease early post-discharge mortality.

Indexed as

MalnutritionPatient DischargeAdultAftercareAged, 80 and overFemaleHospital MortalityHospitalsHumansInternal MedicineLength of StayMaleRisk FactorsAgeinghealthcare assessmentmortality predictorsmultimorbidity

Identifiers

PMID36697014
PMCPMC11046563
OpenAlexW4317935988

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.