Evidence map›Paper›PMID 38724188›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2024

Predicting unplanned admissions to hospital in older adults using routinely recorded general practice data: development and validation of a prediction model.

Jet H Klunder, Martijn W Heymans, Iris van der Heide, Robert A Verheij, Otto R Maarsingh, Hein Pj van Hout, Karlijn J Joling

Abstract readValidation Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2024. 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. Observational
  2. Article
  3. Avoiding hospital admissions this winter: the challenge for general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    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.

Jet H KlunderDepartment of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam; Aging and Later Life, Amsterdam Public Health Research Institute, Amsterdam.ORCID 0000-0002-0463-6909
Martijn W HeymansDepartment of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit; Methodology, Amsterdam Public Health, Public Health Research Institute, Amsterdam.ORCID 0000-0002-3889-0921
Iris van der HeideNetherlands Institute for Health Services Research (NIVEL); Department of Languages, Literature and Communication, Faculty of Humanities, Utrecht University, Utrecht.ORCID 0000-0002-9709-7261
Robert A VerheijNIVEL, Utrecht; Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg.ORCID 0000-0003-2234-4819
Otto R MaarsinghDepartment of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam; Aging and Later Life, Amsterdam Public Health Research Institute, Amsterdam.ORCID 0000-0002-3747-9217
Hein Pj van HoutDepartment of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam; Aging and Later Life, Amsterdam Public Health Research Institute, Amsterdam.ORCID 0000-0002-2495-4808
Karlijn J JolingDepartment of Medicine for Older People, Amsterdam UMC, Vrije Universiteit Amsterdam; Aging and Later Life, Amsterdam Public Health Research Institute, Amsterdam.ORCID 0000-0001-5301-6370

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnplanned admissions to hospital represent a hazardous event for older people. Timely identification of high-risk individuals using a prediction tool may facilitate preventive interventions.

aimTo develop and validate an easy-to-use prediction model for unplanned admissions to hospital in community-dwelling older adults using readily available data to allow rapid bedside assessment by GPs. DESIGN AND

settingThis was a retrospective study using the general practice electronic health records of 243 324 community-dwelling adults aged ≥65 years linked with national administrative data to predict unplanned admissions to hospital within 6 months.

methodThe dataset was geographically split into a development (

resultsIn both samples, 7.6% (development cohort:

conclusionThe models showed satisfactory predictive ability. Reducing the number of predictors and geographic validation did not have an impact on predictive performance, demonstrating the robustness of the model. An easy-to-use tool has been developed in this study that may assist GPs in decision making and with targeted preventive interventions.

Indexed as

General PracticeHospitalizationAgedAged, 80 and overElectronic Health RecordsFemaleHumansIndependent LivingMalePatient AdmissionRetrospective StudiesRisk AssessmentRisk FactorsRoutinely Collected Health Datadementiageneral practiceolder adultsprediction modelprimary careunplanned admissions to hospital

Identifiers

PMID38724188
PMCPMC11349354

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Registered trials

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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.