| Title |
Change In Length of Stay and Readmissions among Hospitalized Medical Patients after Inpatient Medicine Service Adoption of Mobile Secure Text Messaging
|
|---|---|
| Published in |
Journal of General Internal Medicine, March 2016
|
| DOI | 10.1007/s11606-016-3673-7 |
| Pubmed ID | |
| Authors |
Mitesh S. Patel, Neha Patel, Dylan S. Small, Roy Rosin, Jeffrey I. Rohrbach, Nathaniel Stromberg, C. William Hanson, David A. Asch |
| Abstract |
Changes in the medium of communication from paging to mobile secure text messaging may change clinical care, but the effects of these changes on patient outcomes have not been well examined. To evaluate the association between inpatient medicine service adoption of mobile secure text messaging and patient length of stay and readmissions. Observational study. Patients admitted to medicine services at the Hospital of the University of Pennsylvania (intervention site; n = 8995 admissions of 6484 patients) and Penn Presbyterian Medical Center (control site; n = 6799 admissions of 4977 patients) between May 1, 2012, and April 30, 2014. Mobile secure text messaging. Change in length of stay and 30-day readmissions, comparing patients at the intervention site to the control site before (May 1, 2012 to April 30, 2013) and after (May 1, 2013 to April 30, 2014) the intervention, adjusting for time trends and patient demographics, comorbidities, insurance, and disposition. During the pre-intervention period, the mean length of stay ranged from 4.0 to 5.0 days at the control site and from 5.2 to 6.7 days at the intervention site, but trends were similar. In the first month after the intervention, the mean length of stay was unchanged at the control site (4.7 to 4.7 days) but declined at the intervention site (6.0 to 5.4 days). Trends were mostly similar during the rest of the post-intervention period, ranging from 4.4 to 5.6 days at the control site and from 5.4 to 6.5 days at the intervention site. Readmission rates varied significantly within sites before and after the intervention, but overall trends were similar. In adjusted analyses, there was a significant decrease in length of stay for the intervention site relative to the control site during the post-intervention period compared to the pre-intervention period (-0.77 days ; 95 % CI, -1.14, -0.40; P < 0.001). There was no significant difference in the odds of readmission (OR, 0.97; 95 % CI: 0.81, 1.17; P = 0.77). These findings were supported by multiple sensitivity analyses. Compared to a control group over time, hospitalized medical patients on inpatient services whose care providers and staff were offered mobile secure text messaging showed a relative decrease in length of stay and no change in readmissions. |
X Demographics
The data shown below were collected from the profiles of 26 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 16 | 62% |
| Japan | 1 | 4% |
| Canada | 1 | 4% |
| Unknown | 8 | 31% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 11 | 42% |
| Practitioners (doctors, other healthcare professionals) | 10 | 38% |
| Scientists | 4 | 15% |
| Science communicators (journalists, bloggers, editors) | 1 | 4% |
Mendeley readers
The data shown below were compiled from readership statistics for 60 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 3% |
| Unknown | 58 | 97% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 13 | 22% |
| Student > Master | 10 | 17% |
| Other | 8 | 13% |
| Student > Ph. D. Student | 4 | 7% |
| Student > Postgraduate | 4 | 7% |
| Other | 8 | 13% |
| Unknown | 13 | 22% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 19 | 32% |
| Computer Science | 4 | 7% |
| Nursing and Health Professions | 4 | 7% |
| Social Sciences | 4 | 7% |
| Psychology | 3 | 5% |
| Other | 4 | 7% |
| Unknown | 22 | 37% |
Attention Score in Context
This research output has an Altmetric Attention Score of 115. 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 19 February 2019.
All research outputs
#334,174
of 23,911,072 outputs
Outputs from Journal of General Internal Medicine
#278
of 7,806 outputs
Outputs of similar age
#6,420
of 303,923 outputs
Outputs of similar age from Journal of General Internal Medicine
#6
of 131 outputs
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