Evidence map›Paper›PMID 37536969›Full record

ArticleBMJ open2023

Impact of hospitalist care model on patient outcomes in acute medical unit: a retrospective cohort study.

Hyun Jeong Kim, Jinhyun Kim, Jung Hun Ohn, Nak-Hyun Kim

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

5 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

4 authors at 1 institution in 2 countries.

Hyun Jeong KimCollege of Nursing, Seoul National University, Seoul, Korea (the Republic of).ORCID 0000-0003-1993-0593
Jinhyun KimCollege of Nursing, Seoul National University, Seoul, Korea (the Republic of) jinhyun@snu.ac.kr.
Jung Hun OhnInternal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).
Nak-Hyun KimInternal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).ORCID 0000-0003-1134-1364
Seoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess a newly introduced, hospitalist-run, acute medical unit (AMU) care model at a tertiary care hospital in the Republic of Korea.

designRetrospective cohort study.

settingTertiary care hospital in the Republic of Korea.

participantsWe evaluated 6391 medical inpatients admitted through the emergency department (ED) from 1 June 2016 to 31 May 2017.

interventionsThe study compared multiple outcomes among medical inpatients from the ED between the non-hospitalist group and the AMU hospitalist group. OUTCOME MEASURES: In-hospital mortality (IHM), intensive care unit (ICU) admission rate, hospital length of stay (LOS), ED-LOS and unscheduled readmission rates were defined as patient outcomes and compared between the two groups.

resultsCompared with the non-hospitalist group, the AMU hospitalist group had lower IHM (OR: 0.43, p<0.001), a lower ICU admission rate (OR: 0.72, p=0.013), a shorter LOS (coefficient: -0.984, SE: 0.318; p=0.002) and a shorter ED-LOS (coefficient: -3.021, SE: 0.256; p<0.001). There were no significant differences in the 10-day or 30-day readmission rates (p=0.974, p=0.965, respectively).

conclusionsThe AMU hospitalist care model was associated with reductions in IHM, ICU admission rate, LOS and ED-LOS. These findings suggest that the AMU hospitalist care model has the potential to be adopted into other healthcare systems to improve care for patients with acute medical needs.

Indexed as

HospitalistsHospitalizationEmergency Service, HospitalHospital MortalityHumansIntensive Care UnitsLength of StayPatient ReadmissionRetrospective Studiesgeneral medicine (see internal medicine)health policyhealth & safetyquality in health care

Identifiers

PMID37536969
PMCPMC10401215
OpenAlexW4385516639

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.