Evidence map›Paper›PMID 37065967›Full record

ArticleCanadian journal of kidney health and disease2023

Health Services Use and Outcomes for Hospital Admissions With a Major Cardiovascular Event Recorded in Health Care Administrative Data in Patients Receiving Maintenance Hemodialysis: A Retrospective Cohort Study.

Ahmed A Al-Jaishi, Nivethika Jeyakumar, Yuguang Kang, Sonali De Chickera, Stephanie N Dixon, Bin Luo, Jessica Sontrop, Michael Walsh, Marcello Tonelli, Amit X Garg

Abstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Ahmed A Al-JaishiClinical Epidemiology Program, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada.ORCID https://orcid.org/0000-0003-0376-2214
Nivethika JeyakumarICES, Toronto, Ontario, Canada.
Yuguang KangICES, Toronto, Ontario, Canada.
Sonali De ChickeraDivision of Nephrology, Department of Medicine, London Health Sciences Centre, London, Ontario, Canada.
Stephanie N DixonLawson Health Research Institute and London Health Sciences Centre, London, Ontario, Canada.ORCID https://orcid.org/0000-0002-7566-6574
Bin LuoICES, Toronto, Ontario, Canada.
Jessica SontropLawson Health Research Institute and London Health Sciences Centre, London, Ontario, Canada.ORCID https://orcid.org/0000-0001-7784-2028
Michael WalshDepartments of Medicine and Health Research Methods, Evidence & Impact, McMaster University, Hamilton, Ontario, Canada.
Marcello TonelliDivision of Nephrology, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Amit X GargLawson Health Research Institute and London Health Sciences Centre, London, Ontario, Canada.ORCID https://orcid.org/0000-0003-3398-3114

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Administrative data are used in studies of hemodialysis care to report cardiovascular-related hospitalizations. Showing recorded events are associated with significant health care resource use and poor outcomes would confirm that administrative data algorithms identify clinically meaningful events. Objective: The objective of this study was to describe the 30-day health service use and outcomes when a hospital admission with myocardial infarction, congestive heart failure, or ischemic stroke is recorded in administrative databases. Design: This is a retrospective review of linked administrative data. Patients and Setting: Patients receiving maintenance in-center hemodialysis in Ontario, Canada, between April 1, 2013, and March 31, 2017, were included. Measurements: Records from linked health care databases at ICES in Ontario, Canada were considered. We identified hospital admission with the most responsible diagnosis recorded as myocardial infarction, congestive heart failure, or ischemic stroke. We then assessed the frequency of common tests, procedures, consultations, post-discharge outpatient drug prescriptions, and outcomes within 30 days following the hospital admission. Methods: We used descriptive statistics to summarize results using counts and percentages for categorical variables and means with standard deviations or medians with quartile ranges for continuous variables. Results: There were 14 368 patients who received maintenance hemodialysis between April 1, 2013, and March 31, 2017. The number of events per 1000 person-years was 33.5 for hospital admissions with myocardial infarction, 34.2 for congestive heart failure, and 12.9 for ischemic stroke. The median (25th, 75th percentile) duration of hospital stay was 5 (3-10) days for myocardial infarction, 4 (2-8) days for congestive heart failure, and 9 (4-18) days for ischemic stroke. The chance of death within 30 days was 21% for myocardial infarction, 11% for congestive heart failure, and 19% for ischemic stroke. Limitations: Events, procedures, and tests recorded in administrative data can be misclassified compared with medical charts. Conclusions: In patients receiving maintenance hemodialysis, hospital admissions of major cardiovascular events routinely recorded in health administrative databases are associated with significant use of health service resources and poor health outcomes.

Indexed as

administrative datacardiovascular diseasescongestive heart failuredeathepidemiologyhealth service usehospitalizationischemic strokemyocardial infarctionoutcomes

Identifiers

PMID37065967
PMCPMC10102938

What Socratic holds

Textmetadata
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 Socratic graph.