Evidence map›Paper›PMID 37989888›Full record

ArticleSurgical endoscopy2024

The hospital frailty risk score as a predictor of readmission after ERCP.

Khanh Hoang Nicholas Le, Alexander S Qian, Mimi Nguyen, Edmund Qiao, Phuong Nguyen, Siddharth Singh, Mary Lee Krinsky

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Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-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

8 citing papers in PubMed, 8 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

7 authors at 3 institutions in 1 country.

Khanh Hoang Nicholas LeDivision of Gastroenterology, Department of Medicine, University of California San Diego Medical Center, La Jolla, CA, 92103, USA.ORCID 0000-0001-5014-4190
Alexander S QianDivision of Gastroenterology, Department of Medicine, University of California San Diego Medical Center, La Jolla, CA, 92103, USA.
Mimi NguyenDivision of Gastroenterology, Department of Medicine, University of California San Diego Medical Center, La Jolla, CA, 92103, USA.
Edmund QiaoDivision of Gastroenterology, Department of Medicine, University of California San Diego Medical Center, La Jolla, CA, 92103, USA.
Phuong NguyenHoag Memorial Hospital Presbyterian, Newport Beach, CA, 92663, USA.
Siddharth SinghDivision of Gastroenterology, Department of Medicine, University of California San Diego Medical Center, La Jolla, CA, 92103, USA.
Mary Lee KrinskyDivision of Gastroenterology, Department of Medicine, University of California San Diego Medical Center, La Jolla, CA, 92103, USA. mkrinsky@health.ucsd.edu.
University of California San Diego Medical Center · USHoag Memorial Hospital Presbyterian · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe 30-day readmission rate is a nationally recognized quality measure with nearly one-fifth of patients being readmitted. This study aims to evaluate frailty, as measured by the hospital frailty risk score (HFRS), as a prognostic indicator for 30-day readmission after inpatient ERCP.

methodsWe analyzed weighted discharge records from the 2017 Nationwide Readmissions Database (NRD) to identify patients undergoing ERCP between 01/01/2017 and 11/30/2017. Our primary outcome was the 30-day unplanned readmission rate in frail (defined as HFRS > 5) against non-frail (HFRS < 5) patients. A mixed effects multivariable logistic regression method was employed.

resultsAmong 68,206 weighted hospitalized patients undergoing ERCP, 31.3% were frail. Frailty was associated with higher 30-day readmission (OR 1.23, 95% CI [1.16-1.30]). Multivariable analysis showed a greater risk of readmission with cirrhosis (OR 1.26, 95% CI [1.10-1.45]), liver transplantation (OR 1.36, 95% CI [1.08-1.71]), cancer (OR 1.58, 95% CI [1.48-1.69]), and male gender (OR 1.24, 95% CI [1.18-1.31]). Frail patients also had higher mortality rate (1.8% vs 0.6%, p < 0.01)], longer LOS during readmission (6.7 vs 5.6 days, p < 0.01), and incurred more charges from both hospitalizations ($175,620 vs $132,519, p < 0.01). Sepsis was the most common primary indication for both frail and non-frail readmissions but accounted for a greater percentage of frail readmissions (17.9% vs 12.4%, p < 0.01).

conclusionsFrailty is associated with higher readmission rates, mortality, LOS, and hospital charges for admitted patients undergoing ERCP. Sepsis is the leading cause for readmission. Independent risk factors for readmission include liver transplantation, cancer, cirrhosis, and male gender.

Indexed as

FrailtyNeoplasmsSepsisCholangiopancreatography, Endoscopic RetrogradeHospitalsHumansLength of StayLiver CirrhosisMalePatient ReadmissionRetrospective StudiesRisk FactorsEndoscopic retrograde cholangiopancreatography (ERCP)EndoscopyFrailtyPatient readmissionQuality improvement

Identifiers

PMID37989888
OpenAlexW4388854291

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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.