Evidence map›Paper›PMID 37128417›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2022

Identifying Barriers to Post-Acute Care Referral and Characterizing Negative Patient Preferences Among Hospitalized Older Adults Using Natural Language Processing.

Erin E Kennedy, Anahita Davoudi, Sy Hwang, Philip J Freda, Ryan Urbanowicz, Kathryn H Bowles, Danielle L Mowery

Open access · greenAbstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 16% 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, 5 citations in OpenAlex.

  1. Review
  2. Article
  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

7 authors at 1 institution in 1 country.

Erin E KennedyUniversity of Pennsylvania School of Nursing, NewCourtland Center for Transitions and Health, Philadelphia, PA.
Anahita DavoudiUniversity of Pennsylvania, Institute for Biomedical Informatics, Philadelphia, PA.
Sy HwangUniversity of Pennsylvania, Institute for Biomedical Informatics, Philadelphia, PA.
Philip J FredaUniversity of Pennsylvania, Institute for Biomedical Informatics, Philadelphia, PA.
Ryan UrbanowiczUniversity of Pennsylvania, Institute for Biomedical Informatics, Philadelphia, PA.
Kathryn H BowlesUniversity of Pennsylvania School of Nursing, NewCourtland Center for Transitions and Health, Philadelphia, PA.
Danielle L MoweryUniversity of Pennsylvania, Institute for Biomedical Informatics, Philadelphia, PA.
University of Pennsylvania · US

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Postdoctoral Training Program in Genomic MedicineT32HG009495 · NHGRI · UNIVERSITY OF PENNSYLVANIA · PI Katherine L. Nathanson, Bogdan Pasaniuc · 2017 to 2026
$4.2M
Determining Barriers to Achieving Optimal Post-Acute Care DestinationsF31NR019919 · NINR · UNIVERSITY OF PENNSYLVANIA · PI KENNEDY, ERIN · 2021 to 2021
$37k
NCATS NIH HHS UL1 TR001878NHGRI NIH HHS T32 HG009495NINR NIH HHS F31 NR019919
6 · The paper itself

Abstract

Our objective was to detect common barriers to post-acute care (B2PAC) among hospitalized older adults using natural language processing (NLP) of clinical notes from patients discharged home when a clinical decision support system recommended post-acute care. We annotated B2PAC sentences from discharge planning notes and developed an NLP classifier to identify the highest-value B2PAC class (negative patient preferences). Thirteen machine learning models were compared with Amazon's AutoGluon deep learning model. The study included 594 acute care notes from 100 patient encounters (1156 sentences contained 11 B2PAC) in a large academic health system. The most frequent and modifiable B2PAC class was negative patient preferences (18.3%). The best supervised model was Extreme Gradient Boosting (F1: 0.859), but the deep learning model performed better (F1: 0.916). Alerting clinicians of negative patient preferences early in the hospitalization can prompt interventions such as patient education to ensure patients receive the right level of care and avoid negative outcomes.

Indexed as

Natural Language ProcessingPatient PreferenceAgedElectronic Health RecordsHumansMachine LearningReferral and ConsultationSubacute Care

Identifiers

PMID37128417
PMCPMC10148308
OpenAlexW4367669015

What OpenQuestion holds

Textmetadata
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.