Evidence map›Paper›PMID 37775572›Full record

ArticleWorld journal of surgery2023

Sociocultural and Demographic Factors Predict Readmissions for General Surgery Patients.

Joshua G Kovoor, Stephen Bacchi, Aashray K Gupta, Silas D Nann, Brandon Stretton, Esther H L Chong, Joseph N Hewitt, Ameya Bhanushali, Kayla Nathin, Nidhi Aujayeb and 13 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

23 authors at 8 institutions in 1 country.

Joshua G KovoorDepartment of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA, Australia.ORCID 0000-0002-3880-3840
Stephen BacchiFlinders Medical Centre, Flinders University, Adelaide, SA, Australia.
Aashray K GuptaUniversity of Adelaide, Adelaide, SA, Australia.
Silas D NannPort Augusta Hospital, Port Augusta, SA, Australia.
Brandon StrettonDepartment of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA, Australia.
Esther H L ChongDepartment of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA, Australia.
Joseph N HewittRoyal Adelaide Hospital, Adelaide, SA, Australia.
Ameya BhanushaliFlinders Medical Centre, Flinders University, Adelaide, SA, Australia.
Kayla NathinUniversity of Adelaide, Adelaide, SA, Australia.
Nidhi AujayebUniversity of Adelaide, Adelaide, SA, Australia.
Amy LuUniversity of Adelaide, Adelaide, SA, Australia.
Christopher D OvendenRoyal Adelaide Hospital, Adelaide, SA, Australia.
Athul JohnDepartment of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA, Australia.
Jessica L ReidDepartment of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA, Australia.
Samuel GluckRoyal Adelaide Hospital, Adelaide, SA, Australia.
Danny LiewRoyal Adelaide Hospital, Adelaide, SA, Australia.
Benjamin A ReddiRoyal Adelaide Hospital, Adelaide, SA, Australia.
Thomas J HughUniversity of Sydney, Sydney, NSW, Australia.
Christopher DobbinsPort Augusta Hospital, Port Augusta, SA, Australia.
Robert T PadburyFlinders Medical Centre, Flinders University, Adelaide, SA, Australia.
Peter J HewettDepartment of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA, Australia.
Markus I TrochslerDepartment of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA, Australia.
Guy J MaddernDepartment of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA, Australia. guy.maddern@adelaide.edu.au.
Royal Adelaide Hospital · AUQueen Elizabeth Hospital · AUThe University of Adelaide · AUGold Coast Hospital · AUFlinders Medical Centre · AUFlinders University · AURoyal Australasian College of Surgeons · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionReadmission is a poor outcome for both patients and healthcare systems. The association of certain sociocultural and demographic characteristics with likelihood of readmission is uncertain in general surgical patients.

methodA multi-centre retrospective cohort study of consecutive unique individuals who survived to discharge during general surgical admissions was conducted. Sociocultural and demographic variables were evaluated alongside clinical parameters (considered both as raw values and their proportion of change in the 1-2 days prior to admission) for their association with 7 and 30 days readmission using logistic regression.

resultsThere were 12,701 individuals included, with 304 (2.4%) individuals readmitted within 7 days, and 921 (7.3%) readmitted within 30 days. When incorporating absolute values of clinical parameters in the model, age was the only variable significantly associated with 7-day readmission, and primary language and presence of religion were the only variables significantly associated with 30-day readmission. When incorporating change in clinical parameters between the 1-2 days prior to discharge, primary language and religion were predictive of 30-day readmission. When controlling for changes in clinical parameters, only higher comorbidity burden (represented by higher Charlson comorbidity index score) was associated with increased likelihood of 30-day readmission.

conclusionsSociocultural and demographic patient factors such as primary language, presence of religion, age, and comorbidity burden predict the likelihood of 7 and 30-day hospital readmission after general surgery. These findings support early implementation a postoperative care model that integrates all biopsychosocial domains across multiple disciplines of healthcare.

Indexed as

HospitalizationPatient ReadmissionDemographyHumansRetrospective StudiesRisk Factors

Identifiers

PMID37775572
PMCPMC10694098
OpenAlexW4387163010

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.