Evidence map›Paper›PMID 38170487›Full record

Trial reportThe American journal of managed care2023

Pharmacists and transitions of care from emergency department to home.

Terry E Dunn, Kalpesh J Desai, Michael P Krajewski, David M Jacobs, Chi-Hua Lu, Sucharita Paul, Joseph A Paladino

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of managed care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Terry E Dunn
Kalpesh J Desai
Michael P Krajewski
David M Jacobs
Chi-Hua LuSchool of Pharmacy and Pharmaceutical Sciences, University at Buffalo, The State University of New York, 3435 Main St, 344 Abbott Hall, Buffalo, NY 14214. Email: chihualu@buffalo.edu. ORCID: 0000-0001-9647-4363.
Sucharita Paul
Joseph A Paladino

Funding

Integrative Informatics Approach to Predict Readmissions and Improve Outcomes in COPDK23HL153582 · NHLBI · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI JACOBS, DAVID · 2021 to 2025
$962k
NHLBI NIH HHS K23 HL153582
6 · The paper itself

Abstract

objectivesTo determine the impact of a pharmacist-led telephone outreach program among patients discharged from the emergency department (ED) to home. STUDY

designWe conducted a randomized controlled study from February to November 2019 at a tertiary care academic medical center.

methodsAt ED discharge, participants were randomly assigned to usual care (controls) or usual care plus the pharmacist's review (intervention group). Eligible individuals included those being discharged from the ED to home with 8 or more medications. A pharmacist telephoned patients in the intervention group within 48 to 96 hours after ED discharge. The medications in the patient's record from the ED were compared with what the patient was taking at home. Discrepancies were communicated to the primary provider via fax or telephone. The primary outcome was overall health care utilization including unplanned hospital readmissions or ED visits within 30 days of discharge. The effect of the intervention on the number of acute events was analyzed using a Poisson regression model adjusting for relevant baseline characteristics.

resultsOf 90 eligible participants, 45 patients each were in the intervention and control groups. A total of 26 patients (58%) in the intervention group were reached, and 56 interventions were provided by the pharmacists. There was no significant difference between groups for overall health care utilization (adjusted risk ratio [aRR], 1.01; 95% CI, 0.50-2.06; P = .96), hospitalizations (aRR, 0.20; 95% CI, 0.02-2.18; P = .19), and ED visits (aRR, 1.24; 95% CI, 0.56-2.79; P = .59).

conclusionsA pharmacist-led telephone outreach program conducted after ED discharge was not associated with a change in health care utilization.

Indexed as

HospitalizationPharmacistsEmergency Service, HospitalHumansPatient DischargePatient Readmission

Identifiers

PMID38170487
PMCPMC10926005

What OpenQuestion holds

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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.