Evidence map›Paper›PMID 37113313›Full record

ArticleRisk management and healthcare policy2023

Diagnosis Related Groups of Patients Admitted from an Urban Academic Medical Center to a Virtual Hybrid Hospital-at-Home Program.

Michael J Maniaci, J Colt Cowdell, Karla Maita, Francisco R Avila, Sagar B Dugani, Ricardo A Torres-Guzman, John P Garcia, Antonio J Forte, Margaret R Paulson

Open access · goldAbstract read
In one paragraph

Article in Risk management and healthcare policy, 2023. 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
2.0field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Michael J ManiaciDivision of Hospital Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0002-2731-1787
J Colt CowdellDivision of Hospital Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0003-2452-0935
Karla MaitaDivision of Plastic Surgery, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0003-2654-6899
Francisco R AvilaDivision of Plastic Surgery, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0001-7856-1367
Sagar B DuganiDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Ricardo A Torres-GuzmanDivision of Plastic Surgery, Mayo Clinic, Jacksonville, FL, USA.
John P GarciaDivision of Plastic Surgery, Mayo Clinic, Jacksonville, FL, USA.
Antonio J ForteDivision of Plastic Surgery, Mayo Clinic, Jacksonville, FL, USA.
Margaret R PaulsonDivision of Hospital Internal Medicine, Mayo Clinic Health Systems, Eau Claire, WI, USA.ORCID 0000-0002-9139-0088
WinnMed · USMayo Clinic Hospital · USMayo Clinic · USMayo Clinic Health System · US

Funding

Rural Patient Risks and Exposures for Diabetes ConTrol (Rural PREDICT)K23MD016230 · NIMHD · MAYO CLINIC ROCHESTER · PI DUGANI, CHANDRASAGAR · 2021 to 2025
$763k
NIMHD NIH HHS K23 MD016230
6 · The paper itself

Abstract

Background: The diagnosis related group (DRG) is used as an economic patient classification system based on clinical characteristics, hospital stay, and treatment costs. Mayo Clinic's virtual hybrid hospital-at-home program, advanced care at home (ACH), offers high-acuity home inpatient care for a variety of diagnosis. This study aimed to determine the DRGs admitted to the ACH program at an urban academic center. Methods: A retrospective study was performed on all patients discharged from the ACH program at Mayo Clinic Florida from July 6, 2020, to February 1, 2022. DRG data were extracted from the Electronic Health Record (EHR). Categorization of DRG was done by systems. Results: The ACH program discharged 451 patients with DRGs. Categorization of the DRG demonstrated that the most frequent code assigned corresponded to respiratory infections (20.2%), followed by septicemia (12.9%), heart failure (8.9%), renal failure (4.9%), and cellulitis (4.0%). Conclusion: The ACH program covers a wide range of high-acuity diagnosis across multiple medical specialties at its urban academic medical campus, including respiratory infections, severe sepsis, congestive heart failure, and renal failure, all with major complications or comorbidities. The ACH model of care may be useful in taking care of patients with similar diagnosis at other urban academic medical institutions.

Indexed as

diagnosis related grouphome acute carehome carehospital at homeinpatient prospective payment system

Identifiers

PMID37113313
PMCPMC10128872
OpenAlexW4366549633

What OpenQuestion holds

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LicenceCC BY-NC
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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.