Kidney, Rachel and Sexton, Eithne and Galen, Louise Van and Silke, Bernard and Nanayakkara, Prabath and Kellett, John (2017) Hospital readmissions - independent predictors of 30-day readmissions derived from a 10 year database. Acute Medicine, 16, (1), pp. 4-9.
Unplanned medical 30 day readmissions place a burden on the provision of acute hospital services and are increasingly used as quality indicators to assess quality of care in hospitals. Multivariable logistic regression of a 10 year database showed that four factors were most strongly associated with early readmission: Charlson comorbidity index >=1, respiratory disease as a principal diagnosis, liver disease and alcohol-related illness as an additional diagnosis, and the number of previous readmissions. Disease and patient-related factors beyond control of the hospital are the factors most strongly associated with 30 day readmission to hospital, suggesting that this may not be an appropriate quality indicator.
B Substances > Alcohol
G Health and disease > State of health > Physical health
G Health and disease > Digestive system disease > Liver disease
G Health and disease > Respiratory / lung disease
J Health care, prevention, harm reduction and treatment > Risk and protective factors > Risk factors
J Health care, prevention, harm reduction and treatment > Health care delivery
J Health care, prevention, harm reduction and treatment > Health care programme, service or facility > Hospital
VA Geographic area > Europe > Ireland
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