학술논문
Clinical characteristics and risk factors of preventable hospital readmissions within 30 days.
Document Type
Article
Author
Meurs, Elsemieke A. I. M.; Siegert, Carl E. H.; Uitvlugt, Elien; Morabet, Najla El; Stoffels, Ruth J.; Schölvinck, Dirk W.; Taverne, Laura F.; Hulshof, Pim B. J. E.; ten Horn, Hilde J. S.; Noordman, Philou C. W.; van Es, Josien; van der Heijde, Nicky; van der Ree, Meike H.; van den Bosch, Maurice A. A. J.; Karapinar-Çarkit, Fatma
Source
Subject
*PATIENT readmissions
*SOCIOECONOMIC status
*HOSPITAL admission & discharge
*MEDICAL specialties & specialists
*RATINGS of hospitals
*SPECIALTY hospitals
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Language
ISSN
2045-2322
Abstract
Knowledge regarding preventable hospital readmissions is scarce. Our aim was to compare the clinical characteristics of potentially preventable readmissions (PPRs) with non-PPRs. Additionally, we aimed to identify risk factors for PPRs. Our study included readmissions within 30 days after discharge from 1 of 7 hospital departments. Preventability was assessed by multidisciplinary meetings. Characteristics of the readmissions were collected and 23 risk factors were analyzed. Of the 1120 readmissions, 125 (11%) were PPRs. PPRs occurred equally among different departments (p = 0.21). 29.6% of PPRs were readmitted by a practitioner of a different medical specialty than the initial admission (IA) specialist. The PPR group had more readmissions within 7 days (PPR 54% vs. non-PPR 44%, p = 0.03). The median LOS was 1 day longer for PPRs (p = 0.16). Factors associated with PPR were higher age (p = 0.004), higher socio-economic status (p = 0.049), fewer prior hospital admissions (p = 0.004), and no outpatient visit prior to readmission (p = 0.025). This study found that PPRs can occur at any department in the hospital. There is not a single type of patient that can easily be pinpointed to be at risk of a PPR, probably due to the multifactorial nature of PPRs. [ABSTRACT FROM AUTHOR]