Evidence map›Paper›PMID 9844076›Full record

ArticleJournal of general internal medicine1998

Health literacy and the risk of hospital admission.

D W Baker, R M Parker, M V Williams, W S Clark

2 registry-linked trialsOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 273 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
273citing papers in PubMed, 6 pooled it
23.4field-weighted citation impact, top 1% 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.

NCT03203018 nacompletednot on this mapstarted 2015, after this paper: background citation

Health Literacy and Cardiovascular Knowledge Workshop in Women From Disadvantaged Communities

TypeinterventionalSponsorHadassah Medical OrganizationRan2015 to 2018Enrolled407ConditionsHealth Literacy, CommunicationArmsInteractive workshop based on community specific needs
NCT03584490 nacompletednot on this mapstarted 2018, after this paper: background citation

Reducing Assessment Barriers for Patients With Low Health Literacy

TypeinterventionalSponsorNorthwestern UniversityRan2018 to 2023Enrolled729ConditionsHealth LiteracyArmsComputerized Talking Touchscreen, Phone Administration of Questionnaires
3 · Its place in the literature

Who cites it

273 citing papers in PubMed, 6 syntheses or guidelines pooled it, 834 citations in OpenAlex.

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  6. Aging and Functional Health Literacy: A Systematic Review and Meta-Analysis.The journals of gerontology. Series B, Psychological sciences and social sciences · 2016
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213 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

D W BakerDepartment of Medicine and Department of Epidemiology and Biostatistics, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109-1998, USA.
R M Parker
M V Williams
W S Clark
Emory University · USCase Western Reserve University · USGeorgia Department of Public Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the association between patient literacy and hospitalization.

designProspective cohort study.

settingUrban public hospital. PATIENTS: A total of 979 emergency department patients who participated in the Literacy in Health Care study and had completed an intake interview and literacy testing with the Test of Functional Health Literacy in Adults were eligible for this study. Of these, 958 (97.8%) had an electronic medical record available for 1994 and 1995. MEASUREMENTS AND MAIN

resultsHospital admissions to Grady Memorial Hospital during 1994 and 1995 were determined by the hospital information system. We used multivariate logistic regression to determine the independent association between inadequate functional health literacy and hospital admission. Patients with inadequate literacy were twice as likely as patients with adequate literacy to be hospitalized during 1994 and 1995 (31. 5% vs 14.9%, p <.001). After adjusting for age, gender, race, self-reported health, socioeconomic status, and health insurance, patients with inadequate literacy were more likely to be hospitalized than patients with adequate literacy (adjusted odds ratio [OR] 1.69; 95% confidence interval [CI] 1.13, 2.53). The association between inadequate literacy and hospital admission was strongest among patients who had been hospitalized in the year before study entry (OR 3.15; 95% CI 1.45, 6.85).

conclusionsIn this study population, patients with inadequate functional health literacy had an increased risk of hospital admission.

Indexed as

Educational StatusHealth EducationAdolescentAdultFemaleGeorgiaHospitalsHumansLogistic ModelsMaleMiddle AgedPatient AdmissionProspective StudiesRisk FactorsSocioeconomic FactorsUrban Population

Identifiers

PMID9844076
PMCPMC1497036
OpenAlexW2058620209

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.