Evidence map›Paper›PMID 38012059›Full record

ArticleHIV medicine2024

Effects of a hospital discharge clinic among people with HIV: Lack of early follow-up is associated with 30-day hospital readmission and decreased retention in care.

Lucas Hill, Courtney Thompson, Shannon Balcombe, Sonia Jain, Feng He, Maile Karris-Young, Thomas C S Martin, Afsana Karim, Laura Bamford, Robert Deiss

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

Article in HIV medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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

10 authors at 3 institutions in 2 countries.

Lucas HillSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, California, USA.
Courtney ThompsonUCSD Owen Clinic, Division of Infectious Diseases, Department of Medicine, University of California, San Diego, California, USA.
Shannon BalcombeDepartment of Pharmacy, University of California, San Diego Health, San Diego, California, USA.
Sonia JainBiostatistics Research Center, Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, California, USA.
Feng HeBiostatistics Research Center, Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, California, USA.
Maile Karris-YoungUCSD Owen Clinic, Division of Infectious Diseases, Department of Medicine, University of California, San Diego, California, USA.
Thomas C S MartinUCSD Owen Clinic, Division of Infectious Diseases, Department of Medicine, University of California, San Diego, California, USA.ORCID 0000-0002-5935-2348
Afsana KarimUCSD Owen Clinic, Division of Infectious Diseases, Department of Medicine, University of California, San Diego, California, USA.
Laura BamfordUCSD Owen Clinic, Division of Infectious Diseases, Department of Medicine, University of California, San Diego, California, USA.
Robert DeissUCSD Owen Clinic, Division of Infectious Diseases, Department of Medicine, University of California, San Diego, California, USA.
University of California San Diego · USSan Francisco VA Medical Center · USUniversity of San Diego · US

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Maile Ann Young Karris · 1994 to 2026
$78.4M
NIAID NIH HHS P30 AI036214
6 · The paper itself

Abstract

backgroundThe transition between inpatient and outpatient care for hospitalized people with HIV represents an opportunity for linkage and re-engagement in care. We evaluated whether attendance at a post-hospitalization visit ('discharge clinic') within 1-2 weeks of discharge would reduce readmissions and improve retention in care (RIC) among people with HIV in San Diego, California, USA.

methodsThis was a retrospective cohort study of people with HIV hospitalized between June 2020 and November 2021. Our primary outcome was 30-day readmissions among people with HIV who did or did not attend a discharge clinic visit. Secondary outcomes included the effect of discharge clinic attendance on RIC, along with the impact of attendance at any HIV clinic visit within 30 days of discharge on readmissions and RIC.

resultsWe evaluated 114 people with HIV, of whom 77 (67.5%) and 90 (78.9%) attended a discharge clinic visit or any HIV clinic visit within 30 days of discharge, respectively. Active substance use disorder (SUD) was associated with failing to attend a discharge clinic visit (odds ratio 0.31; 95% confidence interval 0.13-0.77). We observed no significant differences in readmissions between people with HIV who did or did not attend a discharge clinic visit; however, the former had significantly higher 6-month RIC (79.2% vs. 35.1%, p < 0.001). People with HIV attending any HIV clinic visit within 30 days of discharge had significantly fewer 30-day readmissions (8.9% vs. 29.2%, p = 0.02) and better 6-month RIC (75.6% vs. 25%, p < 0.001) than those who did not attend.

conclusionEarly hospital follow-up care was associated with a reduction in readmissions among people with HIV. Active SUD was a significant barrier to linkage to outpatient follow-up and RIC.

Indexed as

HIV InfectionsRetention in CareFollow-Up StudiesHospitalsHumansPatient DischargePatient ReadmissionRetrospective StudiesHIVreadmissionssubstance use disordertransitions of care

Identifiers

PMID38012059
PMCPMC10932925
OpenAlexW4389068581

What OpenQuestion holds

Textmetadata
LicenceTDM
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.