Causes and correlates of 30 day and 180 day readmission following discharge from a Medicine for the Elderly Rehabilitation unit

BMC Geriatrics
Lloyd D Hughes, Miles D Witham

Abstract

Recently hospitalized patients experience a period of generalized risk of adverse health events. This study examined reasons for, and predictors of, readmission to acute care facilities within 30 and 180 days of discharge from an inpatient rehabilitation unit for older people. Routinely collected, linked clinical data on admissions to a single inpatient rehabilitation facility over a 13-year period were analysed. Data were available regarding demographics, comorbid disease, admission and discharge Barthel scores, length of hospital stay, and number of medications on discharge. Discharge diagnoses for the index admission and readmissions were available from hospital episode statistics. Univariate and multivariate Cox regression analyses were performed to identify baseline factors that predicted 30 and 180-day readmission. A total of 3984 patients were included in the analysis. The cohort had a mean age of 84.1 years (SD 7.4), and 39.7% were male. Overall, 5.6% (n = 222) and 23.2% (n = 926) of the patients were readmitted within 30 days and 180 days of discharge respectively. For patients readmitted to hospital, 26.6% and 21.1% of patients were readmitted with the same condition as their initial admission at 30 days and 180 respe...Continue Reading

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Citations

Mar 21, 2020·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Michael BaldinoAnkur Seth
May 6, 2020·International Journal of Environmental Research and Public Health·Dinberu S ShebeshiJulie Byles
Sep 27, 2020·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Gianmauro NumicoRoberta Bellini
Jan 31, 2021·Archives of Gerontology and Geriatrics·Hanna M KerminenEsa R K Jämsen
Sep 10, 2020·Journal of the National Medical Association·Michael BaldinoAnkur Seth
Mar 15, 2021·Public Health Nursing·Deanna Gray-MiceliMarie Boltz

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