Predischarge and Postdischarge Risk Factors for Hospital Readmission Among Patients With Diabetes

Medical Care
Abhijana KarunakaranDaniel J Rubin

Abstract

Hospital readmission within 30 days of discharge (30-d readmission) is an undesirable outcome. Readmission of patients with diabetes is common and costly. Most of the studies that have examined readmission risk factors among diabetes patients did not include potentially important clinical data. To provide a more comprehensive understanding of 30-day readmission risk factors among patients with diabetes based on predischarge and postdischarge data. In this retrospective cohort study, 48 variables were evaluated for association with readmission by multivariable logistic regression. In total, 17,284 adult diabetes patients with 44,203 hospital discharges from an urban academic medical center between January 1, 2004 and December 1, 2012. The outcome was all-cause 30-day readmission. Model performance was assessed by c-statistic. The 30-day readmission rate was 20.4%, and the median time to readmission was 11 days. A total of 27 factors were statistically significant and independently associated with 30-day readmission (P<0.05). The c-statistic was 0.82. The strongest risk factors were lack of a postdischarge outpatient visit within 30 days, hospital length-of-stay, prior discharge within 90 days, discharge against medical advice, s...Continue Reading

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Jun 30, 2019·Journal of Diabetes·Zachary Bloomgarden
May 14, 2020·BMJ Open Diabetes Research & Care·Elias K SpanakisGuillermo E Umpierrez
Oct 7, 2020·BMJ Open Diabetes Research & Care·Yaara Zisman-IlaniDaniel J Rubin
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Jun 3, 2021·International Journal of Environmental Research and Public Health·Jamie M SmithOlga F Jarrín
Sep 5, 2021·Current Diabetes Reports·Daniel J Rubin, Arnav A Shah

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