Risk Factors for Preventable Emergency Department Use After Outpatient Hand Surgery. (Record no. 389)

MARC details
000 -LEADER
fixed length control field 03612nam a22004457a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 220926s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0363-5023
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jhsa.2022.05.012 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0363-5023(22)00300-8 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 35843760
245 ## - TITLE STATEMENT
Title Risk Factors for Preventable Emergency Department Use After Outpatient Hand Surgery.
251 ## - Source
Source Journal of Hand Surgery - American Volume. 2022 Jul 15
252 ## - Abbreviated Source
Abbreviated source J Hand Surg [Am]. 2022 Jul 15
253 ## - Journal Name
Journal name The Journal of hand surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2022 Jul 15
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2022-09-26
501 ## - WITH NOTE
Local holdings Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Worse preoperative PROMIS UE and PI scores were associated with increased odds of preventable ED visits. Preoperative PRD may allow for identification of outliers at higher risk for preventable ED use, and facilitate preventative interventions.
520 ## - SUMMARY, ETC.
Abstract METHODS: All adult patients undergoing outpatient surgery at our hand center between January 1, 2018, and December 31, 2019, were included. Questionnaires, including the Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity (UE) and pain interference (PI) scales, were completed before surgery. We used our regional health information exchange to identify ED visits within 90 days of surgery.
520 ## - SUMMARY, ETC.
Abstract PURPOSE: Emergency department (ED) visits for postoperative concerns that could be safely addressed in outpatient clinics have an impact on cost, quality measures, and care workflows. Patient-reported data (PRD) may give unique insights into individual-level factors that predict overuse of health care resources, and guide opportunities for intervention and prevention. We investigated the relationship between preoperative PRD and preventable ED use after outpatient hand surgery to determine whether the preoperative PRD can be used to identify patients at higher odds of having preventable ED visits.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Our cohort included 2,819 patients. Within 90 days after surgery, 106 (3.8%) had preventable ED visits. Race, insurance status, and transportation issues increased odds of a preventable ED visit. Multivariable models found that each 1-point increase in the preoperative PROMIS UE score was associated with 4% decreased odds of ED presentation (odds ratio, 0.96; 95% confidence interval, 0.94-0.99), and each 1-point increase in the preoperative PROMIS PI score was associated with 4% increased odds of ED presentation (odds ratio, 1.04; 95% confidence interval, 1.0-1.1). Any PROMIS UE or PI scores >=1SDs worse than population norms increased the probability of a preventable ED visit, independent of other factors.
520 ## - SUMMARY, ETC.
Abstract TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic IV. Copyright © 2022 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Curtis National Hand Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Giladi, Aviram M
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Local Authors Guarino, Gianna M
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Local Authors Sanghavi, Kavya K
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Local Authors Shetty, Pragna N
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Local Authors Zhang, Gongliang
790 ## - Authors
All authors Giladi AM, Guarino GM, Sanghavi KK, Shetty PN, Zhang G
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jhsa.2022.05.012">https://dx.doi.org/10.1016/j.jhsa.2022.05.012</a>
Public note https://dx.doi.org/10.1016/j.jhsa.2022.05.012
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 09/26/2022   35843760 35843760 09/26/2022 09/26/2022 Journal Article

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