Age trends in 30 day hospital readmissions: US national retrospective analysis

BMJ : British Medical Journal
Jay G BerryMatthew Hall

Abstract

To assess trends in and risk factors for readmission to hospital across the age continuum. Retrospective analysis. 31 729 762 index hospital admissions for all conditions in 2013 from the US Agency for Healthcare Research and Quality Nationwide Readmissions Database. 30 day, all cause, unplanned hospital readmissions. Odds of readmission were compared by patients' age in one year epochs with logistic regression, accounting for sex, payer, length of stay, discharge disposition, number of chronic conditions, reason for and severity of admission, and data clustering by hospital. The middle (45 years) of the age range (0-90+ years) was selected as the age reference group. The 30 day unplanned readmission rate following all US index admissions was 11.6% (n=3 678 018). Referenced by patients aged 45 years, the adjusted odds ratio for readmission increased between ages 16 and 20 years (from 0.70 (95% confidence interval 0.68 to 0.71) to 1.04 (1.02 to 1.06)), remained elevated between ages 21 and 44 years (range 1.02 (1.00 to 1.03) to 1.12 (1.10 to 1.14)), steadily decreased between ages 46 and 64 years (range 1.02 (1.00 to 1.04) to 0.91 (0.90 to 0.93)), and decreased abruptly at age 65 years (0.78 (0.77 to 0.79)), after which the odds...Continue Reading

Citations

Jul 25, 2019·JAMA Network Open·Peter DunbarJay G Berry
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Apr 27, 2021·JAMA Network Open·Tom van den BoschUNKNOWN Dutch ColoRectal Audit
May 5, 2021·Journal of the American Heart Association·Cavin K Ward-CavinessDavid Diaz-Sanchez
Aug 18, 2021·JBI Evidence Synthesis·Isabel GonçalvesElisabete Maria Garcia Teles Nunes
Oct 8, 2021·Journal of Clinical Psychology in Medical Settings·Anastasia J BullockKara S Aplin
Nov 8, 2019·International Journal of Nursing Studies·Gabriella FacchinettiMaria Grazia De Marinis

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