The association between outpatient follow-up visits and all-cause non-elective 30-day readmissions: A retrospective observational cohort study

PloS One
Liping TongTina Esposito

Abstract

As an effort to reduce hospital readmissions, early follow-up visits were recommended by the Society of Hospital Medicine. However, published literature on the effect of follow-up visits is limited with mixed conclusions. Our goal here is to fully explore the relationship between follow-up visits and the all-cause non-elective 30-day readmission rate (RR) after adjusting for confounders. To conduct this retrospective observational study, we extracted data for 55,378 adult inpatients from Advocate Health Care, a large, multi-hospital system serving a diverse population in a major metropolitan area. These patients were discharged to Home or Home with Home Health services between June 1, 2013 and April 30, 2015. Our findings from time-dependent Cox proportional hazard models showed that follow-up visits were significantly associated with a reduced RR (adjusted hazard ratio: 0.86; 95% CI: 0.82-0.91), but in a complicated way because the interaction between follow-up visits and a readmission risk score was significant with p-value < 0.001. Our analysis using logistic models on an adjusted data set confirmed the above findings with the following additional results. First, time matter. Follow-up visits within 2 days were associated wi...Continue Reading

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Citations

Mar 14, 2020·Critical Care Explorations·Rita N BakhruD Clark Files
Oct 8, 2020·JAMA Surgery·Tyler R ChesneyUNKNOWN Recovery After Surgical Therapy for Older Adults Research–Cancer (RESTORE-Cancer) Group
Oct 31, 2020·Journal of the American Medical Directors Association·Adam SimningHelena Temkin-Greener
Mar 17, 2020·Journal of Pediatric Surgery·Naomi-Liza DenningBarrie S Rich
May 27, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Alyssa R Espinera, Mark B Mycyk
Jul 27, 2021·Journal of the American Academy of Dermatology·Adam ZakariaErin H Amerson

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