Evidence map›Paper›PMID 27676226›Full record

Trial reportAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2017

Pattern and Predictors of Hospital Readmission During the First Year After Lung Transplantation.

M Alrawashdeh, R Zomak, M A Dew, S Sereika, M K Song, J M Pilewski, A DeVito Dabbs

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00818025 (Phase III Trial of Pocket PATH), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

NCT00818025 nacompletednot on this map

Phase III Trial of Pocket PATH: A Computerized Intervention to Promote Self-Care

TypeinterventionalSponsorUniversity of PittsburghRan2009 to 2013Enrolled211ConditionsLung DiseaseArmsPocket PATH (Personal Assistant for Tracking Health)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The art of lung transplantation-lessons learnt from one thousand lung transplants.Indian journal of thoracic and cardiovascular surgery · 2022
    Article
  9. Use of Wearables and Implantable Devices to Monitor Pulmonary Health in the Outpatient Setting.American journal of respiratory and critical care medicine · 2022
    Article
  10. Article
  11. Article
  12. Use of a Bluetooth tablet-based technology to improve outcomes in lung transplantation: A pilot study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Observational
  13. Article
  14. Article
  15. Article
  16. 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.

M AlrawashdehSchool of Nursing, University of Pittsburgh, Pittsburgh, PA.ORCID http://orcid.org/0000-0003-4657-0247
R ZomakCardiothoracic Transplantation Program, UPMC, Pittsburgh, PA.
M A DewSchool of Medicine, University of Pittsburgh, Pittsburgh, PA.ORCID http://orcid.org/0000-0002-4666-1870
S SereikaSchool of Nursing, University of Pittsburgh, Pittsburgh, PA.
M K SongSchool of Nursing, University of North Carolina, Chapel Hill, NC.
J M PilewskiSchool of Medicine, University of Pittsburgh, Pittsburgh, PA.
A DeVito DabbsSchool of Nursing, University of Pittsburgh, Pittsburgh, PA.

Funding

Technology Research in Chronic & Critical IllnessT32NR008857 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Young Ji Lee · 2005 to 2026
$4.0M
Phase III Trial of Pocket PATH: A Computerized Intervention to Promote Self-CareR01NR010711 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DE VITO DABBS, ANNETTE J · 2008 to 2012
$3.5M
NINR NIH HHS R01 NR010711NINR NIH HHS T32 NR008857
6 · The paper itself

Abstract

Hospital readmission after lung transplantation negatively affects quality of life and resource utilization. A secondary analysis of data collected prospectively was conducted to identify the pattern of (incidence, count, cumulative duration), reasons for and predictors of readmission for 201 lung transplant recipients (LTRs) assessed at 2, 6, and 12 mo after discharge. The majority of LTRs (83.6%) were readmitted, and 64.2% had multiple readmissions. The median cumulative readmission duration was 19 days. The main reasons for readmission were other than infection or rejection (55.5%), infection only (25.4%), rejection only (9.9%), and infection and rejection (0.7%). LTRs who required reintubation (odds ratio [OR] 1.92; p = 0.008) or were discharged to care facilities (OR 2.78; p = 0.008) were at higher risk for readmission, with a 95.7% cumulative incidence of readmission at 12 mo. Thirty-day readmission (40.8%) was not significantly predicted by baseline characteristics. Predictors of higher readmission count were lower capacity to engage in self-care (incidence rate ratio [IRR] 0.99; p = 0.03) and discharge to care facilities (IRR 1.45; p = 0.01). Predictors of longer cumulative readmission duration were older age (arithmetic mean ratio [AMR] 1.02; p = 0.009), return to the intensive care unit (AMR 2.00; p = 0.01) and lower capacity to engage in self-care (AMR 0.99; p = 0.03). Identifying LTRs at risk may assist in optimizing predischarge care, discharge planning and long-term follow-up.

Indexed as

Intensive Care UnitsQuality of LifeSelf CareAdultAgedFemaleFollow-Up StudiesHumansLength of StayLung TransplantationMaleMiddle AgedPatient DischargePatient ReadmissionPostoperative ComplicationsPrognosisallied health/nursingclinical research/practicecomplicationhealth services and outcomes researchhospital dischargehospital readmissionlung diseaselung transplantation/pulmonologypatient characteristics

Identifiers

PMID27676226
PMCPMC5368039

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.