Evidence map›Paper›PMID 41498668›Full record

SynthesisMedical care2026

Trends and Disparities in Post-acute Care Utilization After Hospitalization for Sepsis in the United States: A Systematic Review.

Zidu Xu, Ji Won Lee, Bridget Morse-Karzen, Ashley M Chastain, Andrew W Dick, E Yoko Furuya, Laurent G Glance, Denise D Quigley, Patricia W Stone, Jingjing Shang

Abstract readSystematic Review
In one paragraph

Synthesis in Medical care, 2026. 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.

Zidu XuColumbia University School of Nursing, New York, NY.ORCID 0000-0002-6122-8426
Ji Won LeeColumbia University School of Nursing, New York, NY.
Bridget Morse-KarzenColumbia University School of Nursing, New York, NY.
Ashley M ChastainColumbia University School of Nursing, New York, NY.
Andrew W DickThe RAND Corporation, RAND Health, Boston, MA.
E Yoko FuruyaDepartment of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York.
Laurent G GlanceThe RAND Corporation, RAND Health, Boston, MA.
Denise D QuigleyThe RAND Corporation, RAND Health, Boston, MA.
Patricia W StoneColumbia University School of Nursing, New York, NY.
Jingjing ShangColumbia University School of Nursing, New York, NY.

Funding

Infection Prevention in Home Health Care (InHOME)R01NR016865 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING, STONE, PATRICIA W. · 2017 to 2025
$6.4M
Systems Science and Comparative and Cost-Effectiveness Research Training for Nurse Scientists (S2CER2)T32NR014205 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Lusine Poghosyan, Jingjing Shang · 2013 to 2026
$4.2M
ImpAct of COVID-19 on CaRe TransitOns and Health OutcomeS for Vulnerable PopulationS in Nursing Homes and Home HealthCARE Agencies (ACROSS-CARE)R01AG074492 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHANG, JINGJING, STONE, PATRICIA W. · 2021 to 2024
$3.2M
NIA NIH HHS R01 AG074492NINR NIH HHS R01 NR016865NINR NIH HHS T32 NR014205
6 · The paper itself

Abstract

backgroundPost-acute care (PAC) utilization following sepsis hospitalization remains understudied, particularly concerning racial and ethnic and urban-rural disparities.

objectivesTo examine trends and disparities in PAC utilization after sepsis hospitalization, focusing on race, ethnicity, and rurality.

methodsA comprehensive search of databases (PubMed, CINAHL, Embase, Web of Science, and Scopus) was conducted for eligible studies using data through March 2020. The Social Ecological Model guided the review.

resultsEleven studies met inclusion criteria. Our synthesis found a discontinuous increase in PAC use, with a shift from home discharges toward greater use of nursing homes and home health care after 2006. White patients had higher PAC utilization than racial and ethnic minority individuals. Rural and urban non-teaching hospitals discharged more sepsis survivors to long-term care hospitals, while urban teaching hospitals had more discharges to HHC.

conclusionThis review establishes a pre-reform, pre-pandemic baseline for PAC utilization among sepsis survivors. Despite overall gains, disparities in PAC utilization persist by race, ethnicity, and hospital type. As payment and care delivery models have evolved since 2016, future research should leverage this historical baseline to assess the impact of new policies on equitable PAC access for sepsis survivors.

Indexed as

Healthcare DisparitiesHospitalizationSepsisSubacute CareHumansRural PopulationUnited Statespost-acute careracial and ethnic disparitiesruralitysepsistrend

Identifiers

PMID41498668
PMCPMC12998548

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.