FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2188578970> ?p ?o ?g. }

• W2188578970 endingPage "507" @default.
• W2188578970 startingPage "501" @default.
• W2188578970 abstract "Early rehospitalization after discharge for an acute coronary syndrome, including acute myocardial infarction (AMI), is generally considered undesirable. The Centers for Medicare and Medicaid Services (CMS) base hospital financial incentives on risk-adjusted readmission rates after AMI, using claims data in its adjustment models. Little is known about the contribution to readmission risk of factors not captured by claims. For 804 consecutive patients >65 years discharged in 2011 to 2013 from 6 hospitals in Massachusetts and Georgia after an acute coronary syndrome, we compared a CMS-like readmission prediction model with an enhanced model incorporating additional clinical, psychosocial, and sociodemographic characteristics, after principal components analysis. Mean age was 73 years, 38% were women, 25% college educated, and 32% had a previous AMI; all-cause rehospitalization occurred within 30 days for 13%. In the enhanced model, previous coronary intervention (odds ratio [OR] = 2.05, 95% confidence interval [CI] 1.34 to 3.16; chronic kidney disease OR 1.89, 95% CI 1.15 to 3.10; low health literacy OR 1.75, 95% CI 1.14 to 2.69), lower serum sodium levels, and current nonsmoker status were positively associated with readmission. The discriminative ability of the enhanced versus the claims-based model was higher without evidence of overfitting. For example, for patients in the highest deciles of readmission likelihood, observed readmissions occurred in 24% for the claims-based model and 33% for the enhanced model. In conclusion, readmission may be influenced by measurable factors not in CMS′ claims-based models and not controllable by hospitals. Incorporating additional factors into risk-adjusted readmission models may improve their accuracy and validity for use as indicators of hospital quality. Early rehospitalization after discharge for an acute coronary syndrome, including acute myocardial infarction (AMI), is generally considered undesirable. The Centers for Medicare and Medicaid Services (CMS) base hospital financial incentives on risk-adjusted readmission rates after AMI, using claims data in its adjustment models. Little is known about the contribution to readmission risk of factors not captured by claims. For 804 consecutive patients >65 years discharged in 2011 to 2013 from 6 hospitals in Massachusetts and Georgia after an acute coronary syndrome, we compared a CMS-like readmission prediction model with an enhanced model incorporating additional clinical, psychosocial, and sociodemographic characteristics, after principal components analysis. Mean age was 73 years, 38% were women, 25% college educated, and 32% had a previous AMI; all-cause rehospitalization occurred within 30 days for 13%. In the enhanced model, previous coronary intervention (odds ratio [OR] = 2.05, 95% confidence interval [CI] 1.34 to 3.16; chronic kidney disease OR 1.89, 95% CI 1.15 to 3.10; low health literacy OR 1.75, 95% CI 1.14 to 2.69), lower serum sodium levels, and current nonsmoker status were positively associated with readmission. The discriminative ability of the enhanced versus the claims-based model was higher without evidence of overfitting. For example, for patients in the highest deciles of readmission likelihood, observed readmissions occurred in 24% for the claims-based model and 33% for the enhanced model. In conclusion, readmission may be influenced by measurable factors not in CMS′ claims-based models and not controllable by hospitals. Incorporating additional factors into risk-adjusted readmission models may improve their accuracy and validity for use as indicators of hospital quality." @default.
• W2188578970 created "2016-06-24" @default.
• W2188578970 creator A5019380630 @default.
• W2188578970 creator A5027038575 @default.
• W2188578970 creator A5027353992 @default.
• W2188578970 creator A5052539701 @default.
• W2188578970 creator A5053328456 @default.
• W2188578970 creator A5071527051 @default.
• W2188578970 creator A5080416877 @default.
• W2188578970 creator A5087976014 @default.
• W2188578970 creator A5090880023 @default.
• W2188578970 date "2016-02-01" @default.
• W2188578970 modified "2023-09-30" @default.
• W2188578970 title "Reliability of Predicting Early Hospital Readmission After Discharge for an Acute Coronary Syndrome Using Claims-Based Data" @default.
• W2188578970 cites W1493411003 @default.
• W2188578970 cites W1965598713 @default.
• W2188578970 cites W2005172918 @default.
• W2188578970 cites W2013518852 @default.
• W2188578970 cites W2040258807 @default.
• W2188578970 cites W2042177488 @default.
• W2188578970 cites W2043705607 @default.
• W2188578970 cites W2060838370 @default.
• W2188578970 cites W2084632272 @default.
• W2188578970 cites W2086837039 @default.
• W2188578970 cites W2086923543 @default.
• W2188578970 cites W2100026878 @default.
• W2188578970 cites W2101189926 @default.
• W2188578970 cites W2110356839 @default.
• W2188578970 cites W2112380741 @default.
• W2188578970 cites W2113833641 @default.
• W2188578970 cites W2114995492 @default.
• W2188578970 cites W2132322340 @default.
• W2188578970 cites W2136433155 @default.
• W2188578970 cites W2137596024 @default.
• W2188578970 cites W2149712823 @default.
• W2188578970 cites W2149786999 @default.
• W2188578970 cites W2155355450 @default.
• W2188578970 cites W2159465600 @default.
• W2188578970 cites W2160865775 @default.
• W2188578970 cites W2162999891 @default.
• W2188578970 cites W2405480398 @default.
• W2188578970 cites W2548670144 @default.
• W2188578970 cites W2744105079 @default.
• W2188578970 cites W4211104669 @default.
• W2188578970 doi "https://doi.org/10.1016/j.amjcard.2015.11.034" @default.
• W2188578970 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4768305" @default.
• W2188578970 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26718235" @default.
• W2188578970 hasPublicationYear "2016" @default.
• W2188578970 type Work @default.
• W2188578970 sameAs 2188578970 @default.
• W2188578970 citedByCount "34" @default.
• W2188578970 countsByYear W21885789702017 @default.
• W2188578970 countsByYear W21885789702018 @default.
• W2188578970 countsByYear W21885789702019 @default.
• W2188578970 countsByYear W21885789702020 @default.
• W2188578970 countsByYear W21885789702021 @default.
• W2188578970 countsByYear W21885789702022 @default.
• W2188578970 countsByYear W21885789702023 @default.
• W2188578970 crossrefType "journal-article" @default.
• W2188578970 hasAuthorship W2188578970A5019380630 @default.
• W2188578970 hasAuthorship W2188578970A5027038575 @default.
• W2188578970 hasAuthorship W2188578970A5027353992 @default.
• W2188578970 hasAuthorship W2188578970A5052539701 @default.
• W2188578970 hasAuthorship W2188578970A5053328456 @default.
• W2188578970 hasAuthorship W2188578970A5071527051 @default.
• W2188578970 hasAuthorship W2188578970A5080416877 @default.
• W2188578970 hasAuthorship W2188578970A5087976014 @default.
• W2188578970 hasAuthorship W2188578970A5090880023 @default.
• W2188578970 hasBestOaLocation W21885789702 @default.
• W2188578970 hasConcept C126322002 @default.
• W2188578970 hasConcept C156957248 @default.
• W2188578970 hasConcept C160735492 @default.
• W2188578970 hasConcept C162324750 @default.
• W2188578970 hasConcept C164705383 @default.
• W2188578970 hasConcept C194828623 @default.
• W2188578970 hasConcept C2776534028 @default.
• W2188578970 hasConcept C2777698277 @default.
• W2188578970 hasConcept C2778653478 @default.
• W2188578970 hasConcept C44249647 @default.
• W2188578970 hasConcept C500558357 @default.
• W2188578970 hasConcept C50522688 @default.
• W2188578970 hasConcept C71924100 @default.
• W2188578970 hasConceptScore W2188578970C126322002 @default.
• W2188578970 hasConceptScore W2188578970C156957248 @default.
• W2188578970 hasConceptScore W2188578970C160735492 @default.
• W2188578970 hasConceptScore W2188578970C162324750 @default.
• W2188578970 hasConceptScore W2188578970C164705383 @default.
• W2188578970 hasConceptScore W2188578970C194828623 @default.
• W2188578970 hasConceptScore W2188578970C2776534028 @default.
• W2188578970 hasConceptScore W2188578970C2777698277 @default.
• W2188578970 hasConceptScore W2188578970C2778653478 @default.
• W2188578970 hasConceptScore W2188578970C44249647 @default.
• W2188578970 hasConceptScore W2188578970C500558357 @default.
• W2188578970 hasConceptScore W2188578970C50522688 @default.
• W2188578970 hasConceptScore W2188578970C71924100 @default.
• W2188578970 hasIssue "4" @default.
• W2188578970 hasLocation W21885789701 @default.
• W2188578970 hasLocation W21885789702 @default.

• next