A comprehensive framework identifying readmission risk factors using the CHAID algorithm: a prospective cohort study

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Sidika KayaOnur Toka

Abstract

To identify frequency of readmission after discharge from internal-medicine wards, readmission risk factors, and reasons and costs of readmission. Prospective cohort study. A tertiary-care hospital in Turkey. 2622 adult patients discharged from internal-medicine wards of the hospital between 1 February 2015 and 31 January 2016. Thirty day all-cause readmission rates, reasons and costs of readmission. To identify readmission risk factors Chi-square Automatic Interaction Detector (CHAID) analysis was conducted. The same hospital readmission rate was 17.9%, while the same hospital or different-hospital readmission rate was 21.3%. Receiver operating characteristic (ROC) curve analysis showed that the predictive performance of the CHAID algorithm was high. According to the CHAID algorithm, the most significant readmission risk factor was the main diagnosis of neoplasm at the index admission. In other diagnosis groups, higher Charlson comorbidity score, higher level of education, having a regular physician, and three dimensions of Readiness for Hospital Discharge Scale were significant risk factors for readmission. The most frequent reason for readmission was neoplasm, and the total cost of readmissions was ~$900 000. The CHAID algor...Continue Reading

References

Sep 1, 1991·Journal of General Internal Medicine·R Burns, L O Nichols
Apr 14, 1999·Journal of Clinical Epidemiology·M P KossovskyJ M Gaspoz
Mar 16, 2001·Journal of Gerontological Nursing·K A Schwarz
May 8, 2003·Heart & Lung : the Journal of Critical Care·Karen A Schwarz, Cheryl S Elman
Jan 25, 2006·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Nurdan PakerHürriyet Ylmaz
Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
Dec 17, 2009·Journal of General Internal Medicine·Omar HasanJeffrey L Schnipper
May 6, 2010·JAMA : the Journal of the American Medical Association·Adrian F HernandezLesley H Curtis
Jun 26, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Gregory J MiskyEric A Coleman
Oct 15, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Nazima AllaudeenAndrew Auerbach
Nov 26, 2010·Islets·Melis Karaca
Nov 30, 2011·Archives of Internal Medicine·Farhan J KhawajaHenry H Ting
Jun 26, 2012·European Journal of Internal Medicine·Antonio ZapateroJesus Canora
Apr 13, 2013·Journal of the American Heart Association·Andrew M HershLarry A Allen
Apr 29, 2014·The American Journal of Medicine·Lauren DoctoroffKenneth J Mukamal
Sep 28, 2014·Journal of the American Heart Association·Jason H WasfyRobert W Yeh
Nov 8, 2014·PloS One·Claudia FischerEwout W Steyerberg
Feb 19, 2015·Journal of General Internal Medicine·Marina Soley-BoriLewis E Kazis
Apr 10, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Gurcan SimsekSerhat Dogan
Apr 23, 2015·Oncology Nursing Forum·Clara Granda-CameronDavid Mintzer
Jul 15, 2015·Journal of Oncology Practice·Joanna-Grace M ManzanoJosiah Halm
Aug 1, 2015·World Journal of Urology·Abdulkadir TepelerAli Unsal
Mar 10, 2016·JAMA Internal Medicine·Andrew D AuerbachJeffrey L Schnipper
Jul 21, 2017·European Journal of Internal Medicine·Mette Gothardt RasmussenSusanne Rosthøj
Dec 8, 2017·Pancreas·Sushil Kumar GargMadhusudhan R Sanaka

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Incidence & Mortality

Cancer has emerged as a global concern due to its increase in incidence and mortality. Efforts are underway to evaluate and develop action plans to reduce the global burden of cancer. Currently, lung cancer, breast cancer and prostate cancer are the leading causes of cancer mortality. Here is the latest research on cancer incidence and mortality.

© 2022 Meta ULC. All rights reserved