Evidence map›Paper›PMID 37933708›Full record

Observational studyJournal of hospital medicine2023

Impact of a hospital service for adults with chronic childhood-onset disease: A propensity weighted analysis.

Colby Feeney, Mark Chandler, Alyssa Platt, Shifeng Sun, Noppon Setji, David Y Ming

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of hospital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 1 institution in 1 country.

Colby FeeneyDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0002-3741-5205
Mark ChandlerDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Alyssa PlattDepartment of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA.
Shifeng SunDepartment of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA.
Noppon SetjiDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
David Y MingDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0003-2836-6656
Duke University · US

Funding

Dissemination and Implementation Science in Cardiovascular Outcomes (DISCO)K12HL138030 · NHLBI · DUKE UNIVERSITY · PI BOSWORTH, HAYDEN B · 2017 to 2021
$3.9M
Duke University Hospital Clinical Innovations AwardNHLBI NIH HHS K12 HL138030
6 · The paper itself

Abstract

backgroundYoung adults with chronic childhood-onset diseases (CCOD) transitioning care from pediatrics to adult care are at high risk for readmission after hospital discharge. At our institution, we have implemented an inpatient service, the Med-Peds (MP) line, to improve transitions to adult care and reduce hospital utilization by young adults with CCOD.

objectiveThis study aimed to assess the effect of the MP line on length of stay (LOS) and 30-day readmission rates compared to other inpatient services.

methodsThis was an observational, retrospective cohort analysis of patients admitted to the MP line compared to other hospital service lines over a 2-year period. To avoid potential confounding by indication for admission to the MP line, propensity score weighting methods were used.

resultsThe MP line cared for 302 patients with CCOD from June 2019 to July 2021. Compared to other service lines, there was a 33% reduction in relative risk of 30-day readmission (26.9% compared to 40.3%, risk ratio = 0.67, 95% confidence interval [CI] 0.55-0.81). LOS was 10% longer for the MP line (event time ratio (ETR): 1.10 95% CI 1.0-1.21) with median LOS 4.8 versus 4.5 days. Patients with sickle cell disease had less of a reduction in 30-day readmissions and longer LOS.

conclusionHospitalization for young adults with CCOD on a MP service line was associated with lower 30-day readmission rates and longer LOS than hospitalization on other services. Further research is needed to assess which components of the line most contribute to decreased utilization.

Indexed as

HospitalizationPatient ReadmissionChildChronic DiseaseHospitalsHumansLength of StayPatient DischargeRetrospective StudiesYoung Adult

Identifiers

PMID37933708
PMCPMC11097107
OpenAlexW4388455467

What Socratic holds

Textmetadata
LicenceTDM
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.