Jamarie Geller, Nicolas Glynos, Andrew Lemmen, Rachel Pacilio, Daniel J Kruger, Avinash Hosanagar
Trainees Unprepared for Advances in Psychedelic Medicine: A Survey Study
Journal of psychoactive drugs
studies conflict whether language discordance increases rates hospital readmissions emergency department ed revisits adult paediatric patients literature systematically reviewed investigate association language discordance hospital readmission ed revisit rates searches performed pubmed embase google scholar 21 january 2021 updated 27 october 2022 date language limits used articles 1 peerreviewed publications 2 contained data patient parental language skills 3 included either unplanned hospital readmission ed revisit one outcomes screened inclusion articles excluded unavailable english contained primary data inaccessible fulltext form eg abstract two reviewers independently extracted data using preferred reporting items systematic reviews metaanalysesextension scoping reviews guidelines used newcastleottawa scale assess data quality data pooled using dersimonian laird randomeffects models performed metaanalysis 18 adult studies 28day 30day hospital readmission 7 adult studies 30day ed revisits 5 paediatric studies 72hour 7day ed revisits also conducted stratified analysis whether access interpretation services verifiedprovided adult readmission analysis odds hospital readmissions within 28day 30day period ed revisits within 7day period generated 4830 citations data sources 49 12 paediatric 36 adult 1 adult paediatric included metaanalysis language discordant adult patients increased odds hospital readmissions 111 95 ci 104 118 among 4 studies verified interpretation services language discordant patientclinician interactions difference readmission 090 95 ci 077 105 studies specify interpretation service accessuse found higher odds readmission 114 95 ci 106 122 adult patients nondominant language preference higher odds ed revisits 107 95 ci 1004 1152 compared adults dominant language preference 5 paediatric studies children parents language discordant providers higher odds ed revisits 72 hours 112 95 ci 105 119 7 days 102 95 ci 101 103 compared patients whose parents language concordant communications adult patients nondominant language preference hospital readmissions ed revisits children parents nondominant language preference ed revisits providing interpretation services may mitigate impact language discordance reduce hospital readmissions among adult patients crd42022302871