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Tytuł pozycji:

Factors associated with early 14-day unplanned hospital readmission: a matched case-control study.

Tytuł:
Factors associated with early 14-day unplanned hospital readmission: a matched case-control study.
Autorzy:
Lo YT; Department of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, 70403, Tainan, Taiwan.
Chang CM; Department of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, 70403, Tainan, Taiwan.; Department of Medicine, Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.; Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chen MH; Department of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, 70403, Tainan, Taiwan.
Hu FW; Department of Nursing, National Cheng Kung University Hospital, Tainan, Taiwan.; Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Lu FH; Department of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Road, 70403, Tainan, Taiwan. .; Division of Geriatric Medicine, Department of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan. .
Źródło:
BMC health services research [BMC Health Serv Res] 2021 Aug 25; Vol. 21 (1), pp. 870. Date of Electronic Publication: 2021 Aug 25.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: London : BioMed Central, [2001-
MeSH Terms:
Patient Discharge*
Patient Readmission*
Adult ; Case-Control Studies ; Humans ; Retrospective Studies ; Risk Factors
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Grant Information:
NCKUH-10903008 National Cheng Kung University Hospital
Contributed Indexing:
Keywords: Patient Discharge; Patient Readmission; Quality Indicators; Risk Factors
Entry Date(s):
Date Created: 20210826 Date Completed: 20210827 Latest Revision: 20210829
Update Code:
20240104
PubMed Central ID:
PMC8390214
DOI:
10.1186/s12913-021-06902-6
PMID:
34433448
Czasopismo naukowe
Background/purpose: Early unplanned hospital readmissions are burdensome health care events and indicate low care quality. Identifying at-risk patients enables timely intervention. This study identified predictors for 14-day unplanned readmission.
Methods: We conducted a retrospective, matched, case-control study between September 1, 2018, and August 31, 2019, in an 1193-bed university hospital. Adult patients aged ≥ 20 years and readmitted for the same or related diagnosis within 14 days of discharge after initial admission (index admission) were included as cases. Cases were 1:1 matched for the disease-related group at index admission, age, and discharge date to controls. Variables were extracted from the hospital's electronic health records.
Results: In total, 300 cases and 300 controls were analyzed. Six factors were independently associated with unplanned readmission within 14 days: previous admissions within 6 months (OR = 3.09; 95 % CI = 1.79-5.34, p < 0.001), number of diagnoses in the past year (OR = 1.07; 95 % CI = 1.01-1.13, p = 0.019), Malnutrition Universal Screening Tool score (OR = 1.46; 95 % CI = 1.04-2.05, p = 0.03), systolic blood pressure (OR = 0.98; 95 % CI = 0.97-0.99, p = 0.01) and ear temperature within 24 h before discharge (OR = 2.49; 95 % CI = 1.34-4.64, p = 0.004), and discharge with a nasogastric tube (OR = 0.13; 95 % CI = 0.03-0.60, p = 0.009).
Conclusions: Factors presented at admission (frequent prior hospitalizations, multimorbidity, and malnutrition) along with factors presented at discharge (clinical instability and the absence of a nasogastric tube) were associated with increased risk of early 14-day unplanned readmission.
(© 2021. The Author(s).)
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