PMID: 8990610Nov 1, 1996Paper

Unplanned readmissions of elderly patients

Health Bulletin
P GautamJ Squair

Abstract

This study was undertaken to determine the prevalence of unplanned readmissions in Geriatric Medicine in Aberdeen and to examine their nature in order to establish how many of them were avoidable. Patients living within Aberdeen who were discharged from Care of the Elderly Assessment Wards in one hospital between 1 August 1994 and 31 January 1995 were identified. Any subsequent unplanned readmissions of this population to any local hospital within 28 days were identified and formed the study's sample. Subsequent comparison with the non-readmitted population yielded readmission rates. The nature of each episode was investigated by obtaining a wide range of data (e.g. from medical and nursing notes) soon after readmission and by the audit team subsequently identifying principal and associated causative factors. A questionnaire was also sent to the discharging consultant and the patient's GP seeking opinions on whether readmission was avoidable and these were weighted equally with the audit team's opinion in order to establish avoidability. The patients were all discharged from the nine Care of the Elderly Assessment wards at Woodend Hospital in Aberdeen and readmitted to any NHS hospital within Aberdeen. The subjects were patient...Continue Reading

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