Journal of hospital medicine最新文献

{"title":"Things We Do for No Reason™: S. pneumoniae and Legionella urine antigen testing","authors":"Zachary R. Schoepflin MD, PhD,&nbsp;Brooke L. Lubinski MD","doi":"10.1002/jhm.13418","DOIUrl":"10.1002/jhm.13418","url":null,"abstract":"<p>\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 2","pages":"178-181"},"PeriodicalIF":2.4,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Don't forget your Skittles","authors":"Samir S. Shah MD, MSCE, MHM","doi":"10.1002/jhm.13419","DOIUrl":"10.1002/jhm.13419","url":null,"abstract":"<p>\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 8","pages":"659-660"},"PeriodicalIF":2.4,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13419","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender and work–life balance: Results of a national survey of pediatric hospitalists","authors":"Juliann L. Kim MD,&nbsp;Catherine S. Forster MD, MS,&nbsp;Jessica M. Allan MD,&nbsp;Amanda Schondelmeyer MD, MSc,&nbsp;Holly Ruch-Ross ScD,&nbsp;Lauren Barone MPH,&nbsp;H. Barrett Fromme MD, MHPE","doi":"10.1002/jhm.13413","DOIUrl":"10.1002/jhm.13413","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>In medicine, difficulty integrating work and home can lead to decreased job satisfaction, diminished well-being, and increased turnover. Understanding the experience of pediatric hospitalists can provide insights into building a stable, long-term workforce. We aim to examine gender differences in work–life balance and parental leave for physicians practicing Pediatric Hospital Medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a cross-sectional survey study of 1096 pediatric hospitalists. Responses were collected via an online survey platform and summarized using descriptive statistics, including frequency distributions and measures of central tendency. A multivariable logistic regression was used to examine associated variables and work–life balance satisfaction. We analyzed free responses on parental leave to provide nuance to quantitative survey data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five hundred and sixty-five respondents (52% response rate) completed the survey with 71% women. 343 (62%) prioritize work–life balance in career decision-making. Women report taking on more household responsibilities than their partners (41.4% vs. 8.4%; <i>p</i> &lt; .001) including a larger percentage of caregiving and domestic tasks. Female gender and performing &lt;50% caregiving were associated with decreased work–life balance satisfaction; performing &lt;50% domestic tasks increased satisfaction. Median parental leaves were 4 weeks, with men taking significantly shorter leaves (3.5 vs. 6 weeks; <i>p</i> &lt; .001) and more “paid back” time off.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Work–life balance is an important factor in career decisions for men and women. Women perceive carrying a larger load at home. Qualitative results suggest that parental leave may be inadequate in length and salary support for men and women. This study adds insights into work–life integration in PHM.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 10","pages":"894-904"},"PeriodicalIF":2.4,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and risk factors for central venous access device failure in hospitalized adults: A multivariable analysis of 1892 catheters","authors":"Amanda Corley RN, MAdvPrac, PhD,&nbsp;Ruth H. Royle RN, MEcon,&nbsp;Nicole Marsh RN, MAdvPrac, PhD,&nbsp;Emily N. Larsen RN, GDipHlthRes, PhD (Cand),&nbsp;E. Geoffrey Playford MBBS (Hons), MMed (Clin Epi), PhD, FRACP, FRCPA,&nbsp;Matthew R. McGrail PhD,&nbsp;Naomi Runnegar MBBS, FRACP, FRCPA,&nbsp;Robert S. Ware BSc, PhD,&nbsp;Nicole C. Gavin RN, MAdvPrac, PhD,&nbsp;Evan Alexandrou RN, PhD,&nbsp;Marghie Murgo RN, MCritCareNurs,&nbsp;John R. Gowardman MBChB, FCICM, FRACP,&nbsp;Adrian Regli MD, PhD, FCICM,&nbsp;Claire M. Rickard RN, PhD","doi":"10.1002/jhm.13414","DOIUrl":"10.1002/jhm.13414","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Central venous access devices (CVADs) allow intravenous therapy, haemodynamic monitoring and blood sampling but many fail before therapy completion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To quantify CVAD failure and complications; and identify risk factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Designs, Settings, and Participants</h3>\u0000 \u0000 <p>Secondary analysis of multicentre randomised controlled trial including patients aged ≥16 years with a non-tunnelled CVAD (NTCVAD), peripherally-inserted central catheter (PICC) or tunnelled CVAD (TCVAD). Primary outcome was incidence of all-cause CVAD failure (central line-associated bloodstream infection [CLABSI], occlusion, accidental dislodgement, catheter fracture, thrombosis, pain). Secondary outcomes were CLABSI, occlusion and dislodgement. Cox regression was used to report time-to-event associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In 1892 CVADs, all-cause failure occurred in 10.2% of devices: 49 NTCVADs (6.1%); 100 PICCs (13.2%); 44 TCVADs (13.4%). Failure rates for CLABSI, occlusion and dislodgement were 5.3%, 1.8%, and 1.7%, respectively. Independent CLABSI predictors were blood product administration through PICCs (hazard ratio (HR) 2.62, 95% confidence interval (CI) 1.24–5.55); and in TCVADs, one or two lumens, compared with three to four (HR 3.36, 95%CI 1.68–6.71), intravenous chemotherapy (HR 2.96, 95%CI 1.31–6.68), and diabetes (HR 3.25, 95%CI 1.40–7.57). Independent factors protective for CLABSI include antimicrobial NTCVADs (HR 0.23, 95%CI 0.08–0.63) and lipids in TCVADs (HR 0.32, 95%CI 0.14–0.72). NTCVADs inserted at another hospital (HR 7.06, 95%CI 1.48–33.7) and baseline infection in patients with PICCs (HR 2.72, 95%CI 1.08–6.83) were predictors for dislodgement. No independent occlusion predictors were found. Modifiable risk factors were identified for CVAD failure, which occurred for 1-in-10 catheters. Strict infection prevention measures and improved CVAD securement could reduce CLABSI and dislodgement risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 10","pages":"905-917"},"PeriodicalIF":2.4,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13414","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic clinical decision support for pneumonia in the emergency department: A randomized trial","authors":"Derek J. Williams MD, MPH,&nbsp;Hui Nian PhD,&nbsp;Srinivasan Suresh MD, MBA,&nbsp;Jason Slagle PhD,&nbsp;Stephen Gradwohl MD, MSACI,&nbsp;Jakobi Johnson BS,&nbsp;Justine Stassun MS,&nbsp;Carrie Reale RN, MSN,&nbsp;Shari L. Just RN, MSN,&nbsp;Nancy S. Rixe MD,&nbsp;Russ Beebe BA,&nbsp;Donald H. Arnold MD, MPH,&nbsp;Robert W. Turer MD,&nbsp;James W. Antoon MD, PhD,&nbsp;Laura F. Sartori MD, MPH,&nbsp;Robert E. Freundlich MD, MSCI,&nbsp;Carlos G. Grijalva MD, MPH,&nbsp;Joshua C. Smith PhD,&nbsp;Asli O. Weitkamp PhD, MSACI,&nbsp;Matthew B. Weinger MD, MS,&nbsp;Yuwei Zhu MD, MS,&nbsp;Judith M. Martin MD","doi":"10.1002/jhm.13391","DOIUrl":"10.1002/jhm.13391","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospitalization rates for childhood pneumonia vary widely. Risk-based clinical decision support (CDS) interventions may reduce unwarranted variation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a pragmatic randomized trial in two US pediatric emergency departments (EDs) comparing electronic health record (EHR)-integrated prognostic CDS versus usual care for promoting appropriate ED disposition in children (&lt;18 years) with pneumonia. Encounters were randomized 1:1 to usual care versus custom CDS featuring a validated pneumonia severity score predicting risk for severe in-hospital outcomes. Clinicians retained full decision-making authority. The primary outcome was inappropriate ED disposition, defined as early transition to lower- or higher-level care. Safety and implementation outcomes were also evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study enrolled 536 encounters (269 usual care and 267 CDS). Baseline characteristics were similar across arms. Inappropriate disposition occurred in 3% of usual care encounters and 2% of CDS encounters (adjusted odds ratio: 0.99, 95% confidence interval: [0.32, 2.95]). Length of stay was also similar and adverse safety outcomes were uncommon in both arms. The tool's custom user interface and content were viewed as strengths by surveyed clinicians (&gt;70% satisfied). Implementation barriers include intrinsic (e.g., reaching the right person at the right time) and extrinsic factors (i.e., global pandemic).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>EHR-based prognostic CDS did not improve ED disposition decisions for children with pneumonia. Although the intervention's content was favorably received, low subject accrual and workflow integration problems likely limited effectiveness. Clinical Trials Registration: NCT06033079.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 9","pages":"802-811"},"PeriodicalIF":2.4,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors associated with escalation of care in a quaternary academic hospital at home program","authors":"Jed Colt Cowdell MD, MBA,&nbsp;Ellen Lopez APRN,&nbsp;Amy Haney DMSc, PA-C,&nbsp;Luke Myers,&nbsp;Barbara Coble RN,&nbsp;Michael G. Heckman MS,&nbsp;Ryan T. Moerer BSc,&nbsp;Margaret R. Paulson DO,&nbsp;Michael Maniaci MD","doi":"10.1002/jhm.13411","DOIUrl":"10.1002/jhm.13411","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospital-at-home has become a more recognized way to care for patients requiring inpatient hospitalization. At times, these patients may require escalation of care (transfer from home back to the brick-and-mortar (BAM) hospital for ongoing hospitalization care needs), a process that has not been extensively studied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate what patient factors contribute to escalations of care in the hospital-at-home delivery model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Designs, Settings, and Participants</h3>\u0000 \u0000 <p>We conducted a retrospective review of all patients admitted to Mayo Clinic's Advanced Care at Home (ACH) program from January 1, 2022 to December 31, 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Intervention</h3>\u0000 \u0000 <p>None.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcomes and Measures</h3>\u0000 \u0000 <p>Patient information was collected via electronic health record including demographic, socioeconomic, and clinical status. The primary outcome was the of occurrence of an escalation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 904 patients were included, of whom 80 (8.8%) required an escalation of care. In multivariable analysis, risk of an escalation was significantly higher for patients who were married or had a life partner (HR: 1.82, 95% CI: 1.05–3.23, <i>p</i> = .033) for patients admitted with procedure-related disorders (HR: 2.61, 95% CI: 1.35–5.05, <i>p</i> = .005) and patients with an increased mortality risk score (HR [per each 1–category increase] = 1.86, 95% CI: 1.39–2.50, <i>p</i> &lt; .001).</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 10","pages":"886-893"},"PeriodicalIF":2.4,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical guideline highlights for the hospitalist: GOLD COPD update 2024","authors":"Teresa Cornelius MD, MPH","doi":"10.1002/jhm.13416","DOIUrl":"10.1002/jhm.13416","url":null,"abstract":"<p><b>GUIDELINE TITLE</b>: Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (2024 Report)</p><p><b>RELEASE DATE</b>: December 4, 2023</p><p><b>PRIOR VERSIONS</b>: Initial report was released in 2001 with major revisions in 2006, 2011, 2017, and 2023. This 2024 release is an update to the 2023 major revision</p><p><b>DEVELOPER</b>: Global Initiative for Chronic Obstructive Lung Disease (GOLD)</p><p><b>FUNDING SOURCE</b>: GOLD</p><p><b>TARGET POPULATION</b>: Adults with a diagnosis of or at risk for COPD</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 9","pages":"818-820"},"PeriodicalIF":2.4,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No lack of movement","authors":"Danielle Minji Jung MD,&nbsp;Maya Narayanan MD, MPH,&nbsp;Neha Deshpande MD,&nbsp;Elise P. Lu MD, PhD,&nbsp;Ami Cuneo MD","doi":"10.1002/jhm.13412","DOIUrl":"10.1002/jhm.13412","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 10","pages":"948-952"},"PeriodicalIF":2.4,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Venous thromboembolism performance measurement in the United States: An evolving landscape with many stakeholders","authors":"Barbara I. Braun PhD,&nbsp;Karen M. Kolbusz MBA, BSN, RN,&nbsp;Michele R. Bozikis MPH,&nbsp;Stephen P. Schmaltz PhD,&nbsp;Karon Abe PhD, CAPT, USPHS,&nbsp;Nimia L. Reyes MD, MPH,&nbsp;Michelle N. Dardis MSN, MBA, RN","doi":"10.1002/jhm.13385","DOIUrl":"10.1002/jhm.13385","url":null,"abstract":"<p>Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, is a life-threatening, costly, and common preventable complication associated with hospitalization. Although VTE prevention strategies such as risk assessment and prophylaxis are available, they are not applied uniformly or systematically across US hospitals and healthcare systems. Hospital-level performance measurement has been used nationally to promote standardized approaches for VTE prevention and incentivize the adoption of guideline-based care management. Though most measures reflect care processes rather than outcomes, certain domains including diagnosis, treatment, and continuity of care remain unmeasured. In this article, we describe the development of VTE prevention measures from various stakeholders, measure strengths and limitations, publicly reported rates, the impact of technology and health policy on measure use, and perspectives on future options for surveillance and performance monitoring.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 9","pages":"827-840"},"PeriodicalIF":2.4,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of health confidence with hospital length of stay and readmission","authors":"Ashley E. Brown MD, MS,&nbsp;Valerie G. Press MD, MPH,&nbsp;David O. Meltzer MD, PhD","doi":"10.1002/jhm.13405","DOIUrl":"10.1002/jhm.13405","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Length of stay (LOS) is an important measure of hospital quality and may be impacted by patient participation. However, concepts of patient participation, like health confidence, have received little examination in hospitalized patients' LOS, especially in diverse populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine if the Health Confidence Score (HCS) is associated with hospital LOS and readmission in a socioeconomically diverse population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Designs, Settings, and Participants</h3>\u0000 \u0000 <p>We conducted a prospective cohort study in 2022 of adult general medicine patients at an academic hospital in Chicago, Illinois.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Intervention</h3>\u0000 \u0000 <p>None.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome and Measures</h3>\u0000 \u0000 <p>Patient-reported responses to the HCS (scored 0 [<i>lowest health confidence</i>] to ‒12 [<i>highest health confidence</i>]), as well as demographic, socioeconomic, and clinical questions, were collected. Primary outcome was LOS and secondary outcomes were 30- and 90-day readmission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 2797 socioeconomically diverse patients who completed the survey (response rate 28.5%), there was an average HCS of 9.19 (SD 2.68, range 0–12). Using linear regression, patients with high HCS (HCS ≥ 9) had a 1.53-day lower LOS (<i>p</i> &lt; .01, 95% confidence interval [CI] [–2.11, –0.95]) than patients with a low HCS (HCS &lt; 9). This association remained when examining individual HCS questions and controlling for covariates. In logistic regression, HCS was not significantly associated with readmission, but the question “I am involved in decisions about me” (adjusted model: odds ratio 0.83; 95% CI [0.71, 0.96]; <i>p</i> = .01) was associated with 90-day readmission.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"19 9","pages":"794-801"},"PeriodicalIF":2.4,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}