Evidence map›Paper›PMID 37524435›Full record

ArticleClinical medicine (London, England)2023

Health and care needs of hospitalised people experiencing homelessness: an inpatient audit.

J J Nadicksbernd, Theresa Nguyen, Theo Jackson, Caroline Shulman

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 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% 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, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Tough on crime, tough on the causes of crime.Clinical medicine (London, England) · 2023
    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

4 authors at 3 institutions in 2 countries.

J J NadicksberndTransformation Partners in Health and Care, London, UK JJ.Nadicksbernd@nhs.net.
Theresa NguyenTransformation Partners in Health and Care, London, UK.
Theo JacksonPathway.
Caroline ShulmanHomeless Health Programme, Transformation Partners in Health and Care, London, UK honorary senior lecturer, UCL, London, UK, and senior clinical fellow-homelessness and palliative care, Pathway, London, UK.
Partners In Care · USPathways Behavioral Services · USUniversity College London · GB

Funding

Marie Curie MCCC-FCO-11-U
6 · The paper itself

Abstract

backgroundPeople experiencing homelessness frequently die young, from preventable and treatable conditions. They experience significant barriers to healthcare and are often critically ill when admitted to hospital. A hospital admission is an opportunity to intervene and prevent premature mortality by providing compassionate care and facilitating access to safe onward accommodation and support.

methodsTo quantify needs, a cross-sectional audit of inpatients experiencing homelessness across 15 acute hospital teams in London, was undertaken in February 2022. Integrated discharge and hospital homelessness teams were interviewed about each patient identified as homeless or vulnerably housed. Data was collected about patients' health, housing, support needs, and reasons for delayed discharges.

resultsDetailed information was gathered on 86 patients. There was a high level of clinical complexity and multimorbidity. For a safe discharge 60% of individuals were deemed to need accommodation providing high or medium level support and at the time of the audit, half were delayed discharges.

conclusionThere is an urgent need for a range of intermediate/step down and longer-term accommodation and support to enable safe appropriate discharge from hospital and start to address the huge inequity in health outcomes of this population. This paper includes recommendations for clinicians and commissioners.

Indexed as

Ill-Housed PersonsInpatientsCross-Sectional StudiesHospitalizationHousingHumansdelayed dischargeshealth disparityhomelessnessintermediate/step down caremultimorbidityvulnerable populations

Identifiers

PMID37524435
PMCPMC10541037
OpenAlexW4385431612

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.