Variation in readmission rates among hospitals following admission for traumatic injury

Injury
Turner M OslerDavid W Hosmer

Abstract

Readmission following hospital discharge is both common and costly. The Hospital Readmission Reduction Program (HRRP) financially penalizes hospitals for readmission following admission for some conditions, but this approach may not be appropriate for all conditions. We wished to determine if hospitals differed in their adjusted readmission rates following an index hospital admission for traumatic injury. We extracted from the AHRQ National Readmission Dataset (NRD) all non-elderly adult patients hospitalized following traumatic injury in 2014. We estimated hierarchal logistic regression models to predicted readmission within 30 days. Models included either patient level predictors, hospital level predictors, or both. We quantified the extent of hospital variability in readmissions using the median odds ratio. Additionally, we computed hospital specific risk-adjusted rates of readmission and number of excess readmissions. Of the 177,322 patients admitted for traumatic injury 11,940 (6.7%) were readmitted within 30 days. Unadjusted hospital readmission rates for the 637 hospitals in our study varied from 0% to 20%. After controlling for sources of variability the range for hospital readmission rates was between 5.5% and 8.5%. On...Continue Reading

Citations

Feb 17, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Nicholas J PrindezeLaura S Johnson
Jul 13, 2021·The Journal of Trauma and Acute Care Surgery·Pooja U NeimanJohn W Scott
Feb 25, 2020·The Journal of Surgical Research·Jesse PassmanDaniel Holena

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