Evidence map›Paper›PMID 37959249›Full record

ArticleJournal of clinical medicine2023

Postoperative Discharge Destination Impacts 30-Day Outcomes: A National Surgical Quality Improvement Program Multi-Specialty Surgical Cohort Analysis.

Carlos Riveros, Sanjana Ranganathan, Yash B Shah, Emily Huang, Jiaqiong Xu, Michael Geng, Zachary Melchiode, Siqi Hu, Brian J Miles, Nestor Esnaola and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 19% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Facial Nerve Palsy in Malignant Otitis Externa Hospitalizations: Outcomes and Risk Factors.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  4. Article
  5. Article
  6. 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

14 authors at 6 institutions in 2 countries.

Carlos RiverosDepartment of Urology, Houston Methodist Hospital, Houston, TX 77030, USA.ORCID 0000-0001-8030-6605
Sanjana RanganathanDepartment of Urology, Houston Methodist Hospital, Houston, TX 77030, USA.
Yash B ShahSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.ORCID 0000-0003-1551-7611
Emily HuangDepartment of Urology, Houston Methodist Hospital, Houston, TX 77030, USA.
Jiaqiong XuCenter for Health Data Science and Analytics, Houston Methodist Research Institute, Houston, TX 77030, USA.ORCID 0000-0002-3463-2327
Michael GengSchool of Engineering Medicine, Texas A&M University, Houston, TX 77030, USA.
Zachary MelchiodeDepartment of Urology, Houston Methodist Hospital, Houston, TX 77030, USA.ORCID 0009-0006-2345-6301
Siqi HuDepartment of Urology, Houston Methodist Hospital, Houston, TX 77030, USA.
Brian J MilesDepartment of Urology, Houston Methodist Hospital, Houston, TX 77030, USA.
Nestor EsnaolaDepartment of Surgery, Houston Methodist Hospital, Houston, TX 77030, USA.
Dharam KaushikDepartment of Urology, Houston Methodist Hospital, Houston, TX 77030, USA.
Angela JerathDepartment of Anesthesia, Sunnybrook Health Sciences Center, Toronto, ON M4N 3M5, Canada.
Christopher J D WallisDivision of Urology and Surgical Oncology, Department of Surgery, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, ON M5R 0A3, Canada.ORCID 0000-0002-5990-4026
Raj SatkunasivamDepartment of Urology, Houston Methodist Hospital, Houston, TX 77030, USA.
Methodist Hospital · USHouston Methodist · USMount Sinai Hospital · CASunnybrook Health Science Centre · CATexas A&M University · USThomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical patients can be discharged to a variety of facilities which vary widely in intensity of care. Postoperative readmissions have been found to be more strongly associated with post-discharge events than pre-discharge complications, indicating the importance of discharge destination. We sought to evaluate the association between discharge destination and 30-day outcomes. A retrospective cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Patients were dichotomized based on discharge destination: home versus non-home. The main outcome of interest was 30-day unplanned readmission. The secondary outcomes included post-discharge pulmonary, infectious, thromboembolic, and bleeding complications, as well as death. In this cohort study of over 1.5 million patients undergoing common surgical procedures across eight surgical specialties, we found non-home discharge to be associated with adverse 30-day post-operative outcomes, namely, unplanned readmissions, post-discharge pulmonary, infectious, thromboembolic, and bleeding complications, as well as death. Non-home discharge is associated with worse 30-day outcomes among patients undergoing common surgical procedures. Patients and caregivers should be counseled regarding discharge destination, as non-home discharge is associated with adverse post-operative outcomes.

Indexed as

complicationsdestinationdischargeoutcomesreadmissionsurgery

Identifiers

PMID37959249
PMCPMC10650337
OpenAlexW4387970816

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.