We have located links that may give you full text access.
Learning about 30-day readmissions from patients with repeated hospitalizations.
American Journal of Managed Care 2014 June
OBJECTIVES: To examine the population of inpatients with multiple hospitalizations at a large urban medical center in order to understand the types of patients who are at highest risk for 30-day readmission.
STUDY DESIGN: Descriptive retrospective cohort analysis using hospital administrative data.
METHODS: Bivariate analysis of clinical and sociodemographic characteristics of 19,049 adult inpatients discharged with a medical MS-DRG between July 1, 2009, and December 2010, and all subsequent inpatient admissions in the 180 days following each index discharge.
RESULTS: Patients with 6 or more stays (very frequent readmissions) represented 0.8% of patients and 17.3% of 30-day readmissions. Those with 3 to 5 stays (frequent readmissions) comprised 9.4% of patients and 54.3% of 30-day readmissions. These patients differed significantly from those who had fewer hospitalizations with respect to age, race/ethnicity, gender, English proficiency, and insurance type.
CONCLUSIONS: Most 30-day readmissions are experienced by patients who have multiple, frequent hospital admissions. Efforts to reduce readmissions must look beyond the current focus on a single hospital discharge and transition period.
STUDY DESIGN: Descriptive retrospective cohort analysis using hospital administrative data.
METHODS: Bivariate analysis of clinical and sociodemographic characteristics of 19,049 adult inpatients discharged with a medical MS-DRG between July 1, 2009, and December 2010, and all subsequent inpatient admissions in the 180 days following each index discharge.
RESULTS: Patients with 6 or more stays (very frequent readmissions) represented 0.8% of patients and 17.3% of 30-day readmissions. Those with 3 to 5 stays (frequent readmissions) comprised 9.4% of patients and 54.3% of 30-day readmissions. These patients differed significantly from those who had fewer hospitalizations with respect to age, race/ethnicity, gender, English proficiency, and insurance type.
CONCLUSIONS: Most 30-day readmissions are experienced by patients who have multiple, frequent hospital admissions. Efforts to reduce readmissions must look beyond the current focus on a single hospital discharge and transition period.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app