Evidence map›Paper›PMID 37186454›Full record

ArticleJournal of hospital medicine2023

Potentially avoidable emergency department use by patients discharged to skilled nursing facilities.

Ye Tian, Vinay Ayyappan, Keith Hemmert, Jennifer Myers, Yevgeniy Gitelman, Kira Ryskina

Open access · bronzeAbstract read
In one paragraph

Article in Journal of hospital medicine, 2023. 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
2.6field-weighted citation impact, top 11% 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, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ye TianPenn Presbyterian Medical Center, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-1000-4956
Vinay AyyappanUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Keith HemmertHospital of University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jennifer MyersHospital of University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Yevgeniy GitelmanHospital of University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Kira RyskinaHospital of University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Hospital of the University of Pennsylvania · USPenn Presbyterian Medical Center · USUniversity of Pennsylvania · US

Funding

Post-acute care of older adults: the role of skilled nursing facility specialistsR01AG066841 · NIA · UNIVERSITY OF PENNSYLVANIA · PI RYSKINA, KIRA L · 2020 to 2024
$2.0M
UNDERSTANDING THE ROLE OF PHYSICIAN INTEGRATION WITHIN NURSING HOMES IN POST-ACUTE CARE OUTCOMESK08AG052572 · NIA · UNIVERSITY OF PENNSYLVANIA · PI RYSKINA, KIRA L · 2016 to 2020
$821k
NIA NIH HHS K08 AG052572NIA NIH HHS R01 AG066841NIA NIH HHS R01AG066841
6 · The paper itself

Abstract

One-third of patients discharged from hospitals to skilled nursing facilities (SNF) are sent back to the Emergency Department (ED) within 30 days. Little is known about those patients who are discharged from the ED directly back to SNF. We considered these ED visits as potentially avoidable since they did not result in observation or hospitalization stay. Using a retrospective chart review of 1010 patients with ED visits within 14-days of discharge to SNF from University of Pennsylvania health system (UPHS) in 2020-2021, we identified 202 patients with potentially avoidable ED visits among medical and surgical patients. The most common reasons for these ED visits were mechanical falls (17.3%), postoperative problems (16.8%), and cardiac or pulmonary complaints (11.4%). Future interventions to decrease avoidable ED visits from SNFs should aim to provide access for SNF patients to receive timely outpatient lab and imaging services and postoperative follow-ups.

Indexed as

Patient DischargeSkilled Nursing FacilitiesEmergency Service, HospitalHospitalizationHumansRetrospective StudiesUnited States

Identifiers

PMID37186454
PMCPMC11033682
OpenAlexW4367053621

What OpenQuestion holds

Textmetadata
LicenceTDM
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.