Article
Geriatrics & Gerontology
Chih-Ying Li, Allen Haas, Kevin T. Pritchard, Amol Karmarkar, Yong-Fang Kuo, Kimberly Hreha, Kenneth J. Ottenbacher
Summary: The study found that patients who were more functionally dependent at the initial post-acute setting had a higher risk of hospital readmission. This finding holds true across different impairment conditions and post-acute care settings.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Rehabilitation
Tamra Keeney, Minji K. Lee, Jeffrey R. Basford, Andrea Cheville
Summary: Patient-reported information collected in outpatient settings is associated with readmission and discharge to institutional settings within 30 days. Mobility, ADLs, respiratory symptoms, and psychological distress are most strongly associated with 30-day readmission. ADLs, mobility, family support, and psychological distress are most strongly associated with discharge to an institution.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Medicine, General & Internal
Bastien Boussat, Fabiana Cazzorla, Marion Le Marechal, Patricia Pavese, Anne-Laure Mounayar, Elodie Sellier, Jacques Gaillat, Boubou Camara, Bruno Degano, Mylene Maillet, Xavier Courtois, Magali Bouisse, Arnaud Seigneurin, Patrice Francois
Summary: This study analyzed the avoidability of 30-day readmissions following hospitalization for community-acquired pneumonia in two large hospitals in France in 2014. It found that only a small percentage of readmissions were deemed avoidable, with a shorter time interval between discharge and readmission being associated with avoidability.
Article
Health Care Sciences & Services
Hyo Jung Tak, Andrew M. Goldsweig, Fernando A. Wilson, Andrew W. Schram, Milda R. Saunders, Michael Hawking, Tanush Gupta, Cindy Yuan, Li-Wu Chen
Summary: This study investigated the relationship between post-discharge services of different types and at different timepoints and 30-day unplanned readmission, length of stay, and inpatient costs. The study found that institutional outpatient, home health care, and primary care physician visits were associated with decreased readmissions and resource utilization, while emergency department visits were strongly associated with increases in all three outcomes. These findings highlight the importance of considering the impacts of post-discharge services on reducing readmission rates.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Clinical Neurology
Adalia H. Jun-O'Connell, Eliza Grigoriciuc, Brian Silver, Kimiyoshi J. Kobayashi, Marcey Osgood, Majaz Moonis, Nils Henninger
Summary: The study aimed to evaluate the effectiveness of the LACE+ index in predicting the risk of 30-day readmission in stroke patients. The results showed that the LACE+ index was associated with the risk of 30-day readmission, with the high-risk group having the highest readmission rate. This indicates that the LACE+ scoring system has some validity in predicting readmission in stroke patients.
FRONTIERS IN NEUROLOGY
(2022)
Article
Medicine, General & Internal
Arkadiy Finn, Atin Jindal, Sarah B. Andrea, Vijairam Selvaraj, Kwame Dapaah-Afriyie
Summary: This study aimed to evaluate the role of remdesivir in reducing the risk of 30-day readmission after COVID-19 hospitalization. The results showed that patients who received remdesivir were less likely to be readmitted within 30 days and had a reduced all-cause mortality rate, but a longer length of stay.
AMERICAN JOURNAL OF THE MEDICAL SCIENCES
(2022)
Article
Multidisciplinary Sciences
Anne Grauer, Talea Cornelius, Marwah Abdalla, Nathalie Moise, Ian M. Kronish, Siqin Ye
Summary: This retrospective observational study using electronic health records data found that telemedicine visits did not significantly reduce 30-day hospital readmission rates compared to in-person visits. These findings suggest that telemedicine visits are a safe and viable alternative for post-hospitalization follow-up care.
Article
Psychiatry
Danny Lee, Michelle S. Keller, Rachel Fridman, Joshua Lee, Joshua M. Pevnick
Summary: The study evaluated the relationship between depression severity and readmission using depression screening data obtained for operational purposes. The results show that higher levels of depression severity were associated with increased odds of readmission, but adding PHQ-9 results did not improve the predictive power of readmissions model. The study raises questions about potential differences in data obtained for operational versus research purposes.
GENERAL HOSPITAL PSYCHIATRY
(2021)
Article
Cardiac & Cardiovascular Systems
Dhaval Kolte, Kevin Kennedy, Jason H. Wasfy, Anupam B. Jena, Sammy Elmariah
Summary: There is significant variation in 30-day readmission rates after TAVR across hospitals that is not entirely explained by differences in patient or hospital characteristics as well as hospital-wide practice patterns. Noncardiac readmissions are more common in hospitals with the highest RSRRs.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Clinical Neurology
Fareed Jumah, Silky Chotai, Patrick Hilden, Bharath Raju, Anmol Nagaraj, Pankaj Agarwalla, Stephen Johnson, Gaurav Gupta, Hai Sun, Anil Nanda
Summary: The study found that the rate of DAMA in concussion patients was 2.6%, with factors such as age, gender, comorbidity index, injury cause, and income level being associated with DAMA. DAMA independently predicted 30-day readmission, highlighting the importance of interventions to reduce DAMA and its impact on patients' clinical outcomes.
Article
Geriatrics & Gerontology
Caterina Trevisan, Marianna Noale, Giancarlo Zatti, Davide Liborio Vetrano, Stefania Maggi, Giuseppe Sergi
Summary: There is a gradual reduction in hospital length of stay (LOS) and an increase in 30-day readmission rates in older patients in Italy. This suggests that careful pre-discharge assessment is necessary for older people, and community healthcare services should be improved to reduce the risk of readmission.
Article
Cardiac & Cardiovascular Systems
Kannu Bansal, Shubhadarshini Pawar, Tanush Gupta, Fahad Gilani, Sahil Khera, Dhaval Kolte
Summary: Limited data is available on the association between hospital procedural volume and 30-day readmissions after mitral valve transcatheter edge-to-edge repair. This study found no significant association between annual hospital mTEER volume and 30-day readmissions, regardless of whether it was analyzed as a categorical or continuous variable.
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Article
Clinical Neurology
Phoebe M. M. Tran, Joshua L. L. Warren, Erica C. C. Leifheit, Larry B. B. Goldstein, Judith H. H. Lichtman
Summary: Long-term exposure to air pollutants is associated with increased risk of hospital readmission within 30 days after stroke, regardless of hospital performance category. The study assessed the relationship between exposure to carbon monoxide, nitrogen dioxide, ozone, particulate matter 2.5, and sulfur dioxide and 30-day all-cause hospital readmission in elderly stroke patients. Despite being below national limits, long-term exposure to air pollutants still increased the risk of readmission.
Article
Health Care Sciences & Services
Ho-Man Yeung, Abraham Ifrah, Michael E. Rockman
Summary: This study aims to identify trends and factors associated with patient-directed discharge (PDD), representation, and readmission. The study found that factors such as male sex, younger age, insurance type, substance use, homelessness, and primary diagnosis of abscess were associated with PDD. Homelessness, substance use disorders, mental health disorders, and prior history of PDD were associated with representation and readmission. Further research is needed to develop a risk stratification tool.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Nursing
Charlene H. L. Wong, William K. W. Cheung, Claire C. W. Zhong, Eng-kiong Yeoh, Chi Tim Hung, Benjamin H. K. Yip, Eliza L. Y. Wong, Samuel Y. S. Wong, Vincent C. H. Chung
Summary: The study showed that nurse-led peri-discharge interventions did not significantly differ from usual care in reducing all-cause 30-day hospital readmissions. Simple interventions were found to be just as effective as more complex ones.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2021)
Editorial Material
Medical Informatics
Christoph U. Lehmann, Marion J. Ball, Reinhold Haux, Jenna S. Lehmann
Summary: This manuscript describes the history of the journal Applied Clinical Informatics (ACI) from its inception to present day, including publication measures, challenges, and successes.
APPLIED CLINICAL INFORMATICS
(2022)
Article
Multidisciplinary Sciences
Heather U. Lanier, Marlon J. Diaz, Sameh Saleh, Christoph Lehmann, Richard Medford
Summary: The use of social media during the COVID-19 pandemic has led to the spread of a significant amount of mis- and disinformation, which can have serious consequences for public health interventions. By analyzing tweets containing the hashtags #Scamdemic and #Plandemic, we have gained insights into the extent and major trends of misinformation.
Article
Immunology
Marlon Diaz, John J. Hanna, Amy E. Hughes, Christoph U. Lehmann, Richard J. Medford
Summary: Analysis of ivermectin discourse and sentiment on Twitter in the United States shows that all modeled topics are associated with negative sentiment, with tweets from democratic leaning states being more likely to exhibit negative sentiment. Real-time analysis of social media content can help identify public health concerns and guide timely interventions to address misinformation.
OPEN FORUM INFECTIOUS DISEASES
(2022)
Article
Computer Science, Information Systems
Jen Bichel-Findlay, Sabine Koch, John Mantas, Shabbir S. Abdul, Najeeb Al-Shorbaji, Elske Ammenwerth, Analia Baum, Elizabeth M. Borycki, George Demiris, Arie Hasman, William Hersh, Evelyn Hovenga, Ursula H. Huebner, Elaine S. Huesing, Andre Kushniruk, Kye Hwa Lee, Christoph U. Lehmann, Svein-Ivar Lillehaug, Heimar F. Marin, Michael Marschollek, Fernando Martin-Sanchez, Mark Merolli, Aurore Nishimwe, Kaija Saranto, Danielle Sent, Aviv Shachak, Jai Ganesh Udayasankaran, Martin C. Were, Graham Wright
Summary: The International Medical Informatics Association (IMIA) has published recommendations for biomedical and health informatics (BMHI) education to support educators, identify essential skills, provide an evaluation tool, and encourage the establishment and development of BMHI educational programs. IMIA's taskforce updated the recommendations, which cover various domains, programs, and levels of education in BMHI. Accreditation and information exchange on BMHI programs and courses are also provided.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2023)
Article
Computer Science, Information Systems
Genevieve B. Melton, James J. Cimino, Christoph U. Lehman, Patricia R. Sengstack, Joshua C. Smith, William M. Tierney, Randolph A. Miller
Summary: A panel sponsored by ACMI discussed the negative impact of electronic health records on clinicians, including reduced efficiency, reasoning abilities, and knowledge. Addressing these issues will require engagement from various stakeholders, and future EHR systems should be more user-focused and scalable.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Computer Science, Information Systems
Carolyn Petersen, Eta S. Berner, Anthony Cardillo, Kate Fultz Hollis, Kenneth W. Goodman, Ross Koppel, Diane M. Korngiebel, Christoph U. Lehmann, Anthony E. Solomonides, Vignesh Subbian
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Medical Informatics
Robert W. Turer, Katherine R. Martin, Daniel Mark Courtney, Deborah B. Diercks, Ling Chu, DuWayne L. Willett, Bhaskar Thakur, Amy Hughes, Christoph U. Lehmann, Samuel A. McDonald
Summary: An observational study in an academic emergency department found an increase in online test result viewing among patients, especially those who were not enrolled in the portal upon arrival. Models analyzing age, race, sex, and other factors revealed disparities in result viewing behavior.
APPLIED CLINICAL INFORMATICS
(2022)
Article
Health Policy & Services
Andrew L. Masica, Ferdinand Velasco, Tanna L. Nelson, Richard J. Medford, Amy E. Hughes, Ambarish Pandey, Eric D. Peterson, Christoph U. Lehmann
Summary: The THR Clinical Scholars Program aims to develop early career UTSW faculty to conduct research that impacts care delivery at the health system level, emphasizing embedded research initiatives using health system data to improve care quality and efficiency for patient populations served.
LEARNING HEALTH SYSTEMS
(2022)
Article
Health Care Sciences & Services
John J. Hanna, Sameh N. Saleh, Christoph U. Lehmann, Ank E. Nijhawan, Richard J. Medford
Summary: This study evaluated the cost and efficacy of using Facebook ads to encourage HIV testing among at-risk populations. The results showed that targeting at-risk populations aged 20-39 in the US South through Facebook ads is cost-effective, with low promotion costs and high potential reach.
JMIR FORMATIVE RESEARCH
(2023)
Article
Hematology
Jeremy W. Jacobs, Marlon Diaz, Dory E. Arevalo E. Salazar, Albert Tang, Laura D. Stephens, Garrett S. Booth, Christoph U. Lehmann, Brian D. Adkins
Summary: A violin plot is used to illustrate the charges for RBC transfusion at 200 hospitals based on hospital ownership. The width of the violin represents the volume of samples at each point, and the lines indicate the 25th percentile, median, and 75th percentile.
AMERICAN JOURNAL OF HEMATOLOGY
(2023)
Correction
Health Care Sciences & Services
Alaina M. Beauchamp, Christoph U. Lehmann, Richard J. Medford, Amy E. Hughes
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Alaina M. Beauchamp, Christoph U. Lehmann, Richard J. Medford, Amy E. Hughes
Summary: Social connectedness has numerous benefits for human health, including lower mortality rates and improved physical and mental health. This study investigates the association between digital social connectedness and depression at a population level in the United States, using large social media data sets.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Computer Science, Information Systems
Yaa Kumah-Crystal, Scott Mankowitz, Peter Embi, Christoph U. Lehmann
Summary: This study evaluated the performance of ChatGPT on the Clinical Informatics Board Examination and discussed the implications of large language models (LLMs) for board certification and maintenance. ChatGPT was tested using 260 multiple-choice questions and answered 190 (74%) of the eligible questions correctly. The findings raise concerns about potential misuse and validity of knowledge assessment exams due to the accuracy of ChatGPT in answering multiple-choice questions.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Immunology
Sameh N. Saleh, Samuel A. McDonald, Mujeeb A. Basit, Sanat Kumar, Reuben J. Arasaratnam, Trish M. Perl, Christoph U. Lehmann, Richard J. Medford
Summary: This study analyzes the discussion on Twitter to understand public perception about COVID-19 vaccines. The findings reveal a positive trend in public attitude, but also highlight concerning trends that may contribute to vaccine hesitancy. These insights can inform targeted educational interventions and ongoing real-time monitoring.
Correction
Computer Science, Information Systems
Genevieve B. Melton, James J. Cimino, Christoph U. Lehmann, Patricia R. Sengstack, Joshua C. Smith, William M. Tierney, Randolph A. Miller
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)