Predicting non-elective hospital readmissions: A multi-site study

David M. Smith, Anita Giobbie-Hurder, Morris Weinberger, Eugene Z. Oddone, William G. Henderson, David A. Asch, Carol M. Ashton, John R. Feussner, Paulette Ginier, James M. Huey, Denise M. Hynes, Lawrence Loo, Charles E. Mengel

Research output: Contribution to journalArticlepeer-review

84 Scopus citations

Abstract

Objective: To determine clinical and patient-centered factors predicting non-elective hospital readmissions. Design: Secondary analysis from a randomized clinical trial. Clinical setting. Nine VA medical centers. Participants. Patients discharged from the medical service with diabetes mellitus, congestive heart failure, and/or chronic obstructive pulmonary disease (COPD). Main outcome measurement. Non-elective readmission within 90 days. Results: Of 1378 patients discharged, 23.3% were readmitted. After controlling for hospital and intervention status, risk of readmission was increased if the patient had more hospitalizations and emergency room visits in the prior 6 months, higher blood urea nitrogen, lower mental health function, a diagnosis of COPD, and increased satisfaction with access to emergency care assessed on the index hospitalization. Conclusions: Both clinical and patient-centered factors identifiable at discharge are related to non-elective readmission. These factors identify high-risk patients and provide guidance for future interventions. The relationship of patient satisfaction measures to readmission deserves further study. (C) 2000 Elsevier Science Inc.

Original languageEnglish (US)
Pages (from-to)1113-1118
Number of pages6
JournalJournal of Clinical Epidemiology
Volume53
Issue number11
DOIs
StatePublished - Dec 13 2000

Keywords

  • Hospitalization
  • Patient discharge
  • Patient readmission
  • Patient satisfaction
  • Risk factors

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health
  • Epidemiology

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