Evidence map›Paper›PMID 38172725›Full record

Observational studyBMC geriatrics2024

Transitions of care for older adults discharged home from the emergency department: an inductive thematic content analysis of patient comments.

Vanessa Couture, Nathalie Germain, Émilie Côté, Lise Lavoie, Joanie Robitaille, Michèle Morin, Josée Chouinard, Yves Couturier, France Légaré, Marie-Soleil Hardy and 22 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
9.7field-weighted citation impact, top 2% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Discharge instruction comprehension by older adults in the emergency department: A systematic review and meta-analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Exploring Patient and Caregiver Work and Continuity of Care During Hospital-to-Home Transitions of Care in the Canadian Context.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Observational
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

32 authors at 5 institutions in 1 country.

Vanessa Couture *Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Nathalie Germain *Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Émilie CôtéCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Lise LavoieCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Joanie RobitailleCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Michèle MorinCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Josée ChouinardCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Yves CouturierDepartment of Social Work, Université de Sherbrooke, Sherbrooke, Québec, Canada.
France LégaréFaculty of Medicine, Université Laval, Québec, Québec, Canada.
Marie-Soleil HardyCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Lucas B ChartierDepartment of Emergency Medicine, University Health Network, Toronto, ON, Canada.
Audrey-Anne BrousseauDepartment of Family Medicine, Université de Sherbrooke, Sherbrooke, Québec, Canada.
Nadia SourialDepartment of Health Management, Evaluation and Policy, School of Public Health, Université de Montréal, Montréal, Québec, Canada.
Éric MercierFaculty of Medicine, Université Laval, Québec, Québec, Canada.
Clémence DallaireCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Richard FleetCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Annie LeblancCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Don MeladyDepartment of Family and Community Medicine, University of Toronto, Ontario, Canada.
Denis RoyCommissaire à la santé et au bien-être (CSBE), Québec, Québec, Canada.
Samir SinhaDepartment of Family and Community Medicine, University of Toronto, Ontario, Canada.
Marie-Josée SiroisFaculty of Medicine, Université Laval, Québec, Québec, Canada.
Holly O WittemanFaculty of Medicine, Université Laval, Québec, Québec, Canada.
Marcel ÉmondFaculty of Medicine, Université Laval, Québec, Québec, Canada.
Josée RivardCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Isabelle PelletierCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Stéphane TurcotteCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Rawane SambCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Raphaëlle GiguèreCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Lyna AbrouguiCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Pascal Y SmithCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada.
Patrick M ArchambaultCentre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et services sociaux de Chaudière-Appalaches, Lévis, Québec, Canada. patrick.archambault@fmed.ulaval.ca.
Network of Canadian Emergency Researchers
Université Laval · CAUniversité de Sherbrooke · CAUniversity of Toronto · CAUniversité de Montréal · CAUniversity Health Network · CA

Funding

CIHR Canada Graduate Scholarships Award (Master's Award, #202112)CIHR Embedded Clinician Salary Award (ECRA) (#201603)
6 · The paper itself

Abstract

objectiveImproving care transitions for older adults can reduce emergency department (ED) visits, adverse events, and empower community autonomy. We conducted an inductive qualitative content analysis to identify themes emerging from comments to better understand ED care transitions.

methodsThe LEARNING WISDOM prospective longitudinal observational cohort includes older adults (≥ 65 years) who experienced a care transition after an ED visit from both before and during COVID-19. Their comments on this transition were collected via phone interview and transcribed. We conducted an inductive qualitative content analysis with randomly selected comments until saturation. Themes that arose from comments were coded and organized into frequencies and proportions. We followed the Standards for Reporting Qualitative Research (SRQR).

resultsComments from 690 patients (339 pre-COVID, 351 during COVID) composed of 351 women (50.9%) and 339 men (49.1%) were analyzed. Patients were satisfied with acute emergency care, and the proportion of patients with positive acute care experiences increased with the COVID-19 pandemic. Negative patient comments were most often related to communication between health providers across the care continuum and the professionalism of personnel in the ED. Comments concerning home care became more neutral with the COVID-19 pandemic.

conclusionPatients were satisfied overall with acute care but reported gaps in professionalism and follow-up communication between providers. Comments may have changed in tone from positive to neutral regarding home care over the COVID-19 pandemic due to service slowdowns. Addressing these concerns may improve the quality of care transitions and provide future pandemic mitigation strategies.

Indexed as

COVID-19Patient DischargeAgedEmergency Service, HospitalFemaleHumansMalePandemicsProspective StudiesAgingCare transitionsCOVID-19Emergency departmentGeriatricsPatient experience

Identifiers

PMID38172725
PMCPMC10763115
OpenAlexW4390571981

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.