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CMAJ

The association between home care visits and same-day emergency department use: a case–crossover study

Overview of attention for article published in Canadian Medical Association Journal, April 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (97th percentile)
  • High Attention Score compared to outputs of the same age and source (82nd percentile)

Mentioned by

news
6 news outlets
blogs
2 blogs
twitter
65 X users
facebook
1 Facebook page

Citations

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33 Dimensions

Readers on

mendeley
45 Mendeley
Title
The association between home care visits and same-day emergency department use: a case–crossover study
Published in
Canadian Medical Association Journal, April 2018
DOI 10.1503/cmaj.170892
Pubmed ID
Authors

Aaron Jones, Connie Schumacher, Susan E Bronskill, Michael A Campitelli, Jeffrey W Poss, Hsien Seow, Andrew P Costa

Abstract

The extent to which home care visits contribute to the delay or avoidance of emergency department use is poorly characterized. We examined the association between home care visits and same-day emergency department use among patients receiving publicly funded home care. We conducted a population-based case-crossover study among patients receiving publicly funded home care in the Hamilton-Niagara-Haldimand-Brant region of Ontario between January and December 2015. Within individuals, all days with emergency department visits after 5 pm were selected as cases and matched with control days from the previous week. The cohort was stratified according to whether patients had ongoing home care needs ("long stay") or short-term home care needs ("short stay"). We used conditional logistical regression to estimate the association between receiving a home care visit during the day and visiting the emergency department after 5 pm on the same day. A total of 4429 long-stay patients contributed 5893 emergency department visits, and 2836 short-stay patients contributed 3476 visits. Receiving a home care nursing visit was associated with an increased likelihood of visiting the emergency department after 5 pm on the same day in both long-stay (odds ratio [OR] 1.32, 95% confidence interval [CI] 1.17-1.48) and short-stay patients (OR 1.22, 95% CI 1.07-1.39). Stronger associations were observed for less acute visits to the emergency department. No associations were observed for other types of home care visits. Patients receiving home care were more likely to visit the emergency department during the evening on days they received a nursing visit. The mechanism of the association between home care visits and same-day emergency department use and the extent to which same-day emergency department visits could be prevented or diverted require additional investigation.

X Demographics

X Demographics

The data shown below were collected from the profiles of 65 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 45 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 45 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 6 13%
Student > Master 5 11%
Student > Doctoral Student 4 9%
Librarian 3 7%
Student > Ph. D. Student 3 7%
Other 5 11%
Unknown 19 42%
Readers by discipline Count As %
Medicine and Dentistry 9 20%
Nursing and Health Professions 9 20%
Biochemistry, Genetics and Molecular Biology 2 4%
Psychology 2 4%
Decision Sciences 1 2%
Other 1 2%
Unknown 21 47%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 106. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 August 2019.
All research outputs
#385,861
of 24,988,543 outputs
Outputs from Canadian Medical Association Journal
#685
of 9,343 outputs
Outputs of similar age
#8,786
of 331,515 outputs
Outputs of similar age from Canadian Medical Association Journal
#23
of 126 outputs
Altmetric has tracked 24,988,543 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 9,343 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 33.9. This one has done particularly well, scoring higher than 92% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 331,515 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 97% of its contemporaries.
We're also able to compare this research output to 126 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 82% of its contemporaries.