Readmissions: a primary care examination of reasons for readmission of older people and possible readmission risk factors

Journal of Clinical Nursing
Linda Dobrzanska, Robert Newell

Abstract

To identify the reasons that may have contributed to the emergency readmission of older people to a medical unit, within 28 days of hospital discharge. The current UK Government has initiatives in place to monitor quality and service delivery of NHS organizations. This is achieved by setting, delivering and monitoring standards, one of which is 'emergency readmission to hospital within 28 days of discharge (all ages), as a percentage of live discharges'. A year-long study examined reasons for unplanned readmission of patients (aged 77 and over) within 28 days of hospital discharge. The population was patients, registered with North Bradford PCT General Practitioners, readmitted to one of five care of older people wards in two local acute trust NHS hospitals. Patient records were scrutinized and data related to demography, diagnosis and readmission were collected using a structured extraction tool. Data analysis was undertaken using descriptive statistics and identification of differences and correlations within the data. A pilot study indicated patients readmitted from home vs. other sources and patients discharged to home vs. other sources had a significantly shorter stay on readmission. The main study showed other significant...Continue Reading

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Citations

Mar 15, 2011·Journal of General Internal Medicine·Nazima AllaudeenArpana R Vidyarthi
Oct 14, 2011·Aging Clinical and Experimental Research·Thalie TraissacNathalie Salles
May 29, 2014·The Annals of Pharmacotherapy·Barbara C WimmerRenuka Visvanathan
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May 25, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Anna Schneider-Kamp

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