Evidence map›Paper›PMID 38751348›Full record

ArticleJournal of hospital medicine2024

Association of health confidence with hospital length of stay and readmission.

Ashley E Brown, Valerie G Press, David O Meltzer

Abstract read
In one paragraph

Article in Journal of hospital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

3 authors.

Ashley E BrownPrimary Care Investigators Training in Chronic Disease & Health Disparities (PITCH) Fellowship, University of Chicago, Chicago, Illinois, USA.ORCID 0000-0001-7537-9287
Valerie G PressSection of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA.ORCID 0000-0001-9961-4878
David O MeltzerSection of Hospital Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA.

Funding

J. NRSA Training CoreTL1TR002388 · NCATS · UNIVERSITY OF CHICAGO · PI ALI KESHAVARZIAN, Sonia Kupfer · 2017 to 2026
$6.7M
The Virtual Mentored Implementation to Reduce REVISITS (Reducing Respiratory Emergent Visits using Implementation Science Interventions Tailored to Setting) StudyR01HL146644 · NHLBI · UNIVERSITY OF CHICAGO · PI PRESS, VALERIE G · 2020 to 2024
$3.9M
Cultivating Health & Aging Researchers by Integrating Science, Medicine & Aging - ResubmissionR25AG060910 · NIA · UNIVERSITY OF CHICAGO · PI DAVID O MELTZER · 2019 to 2026
$2.1M
TELE-TOC: Telehealth Education Leveraging Electronic Transitions Of Care for COPD Patients - Resubmission - 1R01HS027804 · AHRQ · UNIVERSITY OF CHICAGO · PI ABRAHAM, JOANNA, ARORA, VINEET · 2021 to 2025
$2.0M
SMART POR: Supporting and Mentoring Across Respiratory Topics in Patient Oriented ResearchK24HL163408 · NHLBI · UNIVERSITY OF CHICAGO · PI Valerie G Press · 2023 to 2026
$485k
AHRQ HHS R01 HS027804HRSA HHS T32 HP42019NCATS NIH HHS TL1 TR002388NHLBI NIH HHS K24 HL163408NHLBI NIH HHS R01 HL146644NIA NIH HHS R25 AG060910NIH HHS K24 HL163408NIH HHS R01 HL146644NIH HHS R25 AG060910NIH HHS TL1 TR002388
6 · The paper itself

Abstract

backgroundLength of stay (LOS) is an important measure of hospital quality and may be impacted by patient participation. However, concepts of patient participation, like health confidence, have received little examination in hospitalized patients' LOS, especially in diverse populations.

objectiveTo determine if the Health Confidence Score (HCS) is associated with hospital LOS and readmission in a socioeconomically diverse population. DESIGNS, SETTINGS, AND

participantsWe conducted a prospective cohort study in 2022 of adult general medicine patients at an academic hospital in Chicago, Illinois.

interventionNone. MAIN OUTCOME AND MEASURES: Patient-reported responses to the HCS (scored 0 [lowest health confidence] to ‒12 [highest health confidence]), as well as demographic, socioeconomic, and clinical questions, were collected. Primary outcome was LOS and secondary outcomes were 30- and 90-day readmission.

resultsAmong 2797 socioeconomically diverse patients who completed the survey (response rate 28.5%), there was an average HCS of 9.19 (SD 2.68, range 0-12). Using linear regression, patients with high HCS (HCS ≥ 9) had a 1.53-day lower LOS (p < .01, 95% confidence interval [CI] [-2.11, -0.95]) than patients with a low HCS (HCS < 9). This association remained when examining individual HCS questions and controlling for covariates. In logistic regression, HCS was not significantly associated with readmission, but the question "I am involved in decisions about me" (adjusted model: odds ratio 0.83; 95% CI [0.71, 0.96]; p = .01) was associated with 90-day readmission.

Indexed as

Length of StayPatient ReadmissionAdultAgedChicagoFemaleHumansMaleMiddle AgedPatient ParticipationProspective StudiesSurveys and Questionnaires

Identifiers

PMID38751348
PMCPMC12879544

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.