Influence of Nonindex Hospital Readmission on Length of Stay and Mortality

Medical Care
Robert E BurkeAdit A Ginde

Abstract

Hospitals and health care systems face increasing accountability for postdischarge outcomes of patients, but it is unclear how frequently hospital readmissions in particular occur at a different hospital than the index hospitalization and whether this is associated with worse outcomes. Describe the prevalence of nonindex 30-day readmissions in a nationally representative sample of all payers and associations with outcomes. Secondary retrospective analysis of the 2013 Nationwide Readmissions Database. Nonfederal hospitals from 21 states representing half of hospitalizations in the United States annually. Our overall sample included all adults discharged alive from an inpatient stay with 30 days of follow-up; we also created 3 additional cohorts: patients with Medicare as the payer (Medicare cohort), patients discharged to home health or skilled nursing facilities after discharge (postacute care cohort), and Medicare patients with any of the current Hospital Readmission Reduction Program's penalized conditions (readmission penalty cohort). Readmission within 30 days to "index" hospital (where index stay occurred) or "nonindex" hospital. In-hospital mortality and length of stay during the readmission. The weighted overall sample i...Continue Reading

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Citations

Jan 10, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yen-Yi JuoPeyman Benharash
May 29, 2019·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Md Mahmudul HasanGary J Young
Jul 14, 2020·Pancreas·Adeyinka Charles Adejumo, Lydie Pani
Apr 1, 2020·Quality Management in Health Care·Augusto Berton BettiolFernando Pivatto Júnior
Mar 17, 2020·Australian Health Review : a Publication of the Australian Hospital Association·Yogesh SharmaCampbell Thompson
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Aug 7, 2019·Journal of Clinical Medicine·Alfredo Madrid-GarcíaLuis Rodríguez-Rodríguez
Oct 12, 2019·PloS One·Md Saiful IslamMd Noor-E-Alam
Feb 26, 2019·Journal of the American Medical Directors Association·Christine D JonesRebecca S Boxer
Aug 12, 2021·Health Services Research and Managerial Epidemiology·Arnab K GhoshMartin Shapiro
Aug 12, 2021·Therapeutic Advances in Musculoskeletal Disease·Alfredo Madrid-GarcíaLuis Rodríguez-Rodríguez
Oct 24, 2021·Hospital Pediatrics·Hasan Symum, José L Zayas-Castro

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