Evidence map›Paper›PMID 39346808›Full record

ArticleTremor and other hyperkinetic movements (New York, N.Y.)2024

Reasons for Hospitalizations and Emergency Department Visits Among Patients with Essential Tremor.

Susanna Howard, Ellie Gabriel, Ritesh Karsalia, Dominick Macaluso, Jesse Y Hsu, Liming Qiu, Neil R Malhotra, Iahn Cajigas, Whitley Aamodt, John Farrar

Abstract read
In one paragraph

Article in Tremor and other hyperkinetic movements (New York, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Susanna HowardDepartment of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-3639-8877
Ellie GabrielUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.ORCID 0009-0000-1063-9930
Ritesh KarsaliaUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Dominick MacalusoDepartment of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-3924-6687
Jesse Y HsuDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Liming QiuDepartment of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.
Neil R MalhotraDepartment of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0001-8839-9682
Iahn CajigasDepartment of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-5808-453X
Whitley AamodtDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0001-8130-2809
John FarrarDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Funding

Neurosurgeon Research Career Development Program (NRCDP)K12NS129164 · NINDS · WASHINGTON UNIVERSITY · PI Sepideh Amin-Hanjani, Emad N Eskandar · 2023 to 2026
$6.7M
Neurologic Clinical Epidemiology Training ProgramT32NS061779 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Andrea Lauren Christman Schneider, Allison Willis · 2008 to 2026
$4.6M
NINDS NIH HHS K12 NS129164NINDS NIH HHS T32 NS061779
6 · The paper itself

Abstract

Background: Prior studies suggest that patients with essential tremor (ET) have increased rates of healthcare utilization, but the reason for this increased use is unknown. The objective of this study was to evaluate the reasons for healthcare use among ET patients. Methods: This was a retrospective cross-sectional study of ET patients with an admission or emergency department (ED) visit at a tertiary health system from 2018-2023. Patients were matched on an encounter level with control patients based on propensity scores incorporating age, sex, race, and co-morbid conditions. The primary outcome was the odds of an encounter for each diagnostic category comparing ET patients with matched controls. Results: Only inpatient admissions for neurologic diagnoses were more likely for ET compared to control patients (odds ratio (OR) 3.73, 95% confidence interval (CI) 2.54 - 5.49, p < 0.001). Once admissions related to the surgical treatment of tremor were excluded, admissions for neurologic diagnoses were equally likely among ET and control patients (OR 0.96, 95% CI 0.59 - 1.57, p = 0.88). Discussion: Surgical treatment of tremor appears to be a key driver of healthcare use among ET patients. Future investigations should examine the pattern of healthcare use of ET patients before and after surgery. Highlights: Prior studies have shown increased healthcare use among essential tremor (ET) patients. The objective of this study was to evaluate the reasons for healthcare use among ET patients compared to matched control patients. Surgical treatment of tremor was found to be a key driver of healthcare use among ET patients.

Indexed as

Emergency Service, HospitalEssential TremorHospitalizationAgedAged, 80 and overCross-Sectional StudiesEmergency Room VisitsFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareRetrospective Studiesessential tremorhealthcare resource utilization

Identifiers

PMID39346808
PMCPMC11428660

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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.