Document Detail

30-day readmissions among seriously ill older adults.
MedLine Citation:
PMID:  23045990     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Inpatient palliative consultation are generally provided to seriously ill hospitalized patients with the intent to alleviate pain and suffering and develop a plan of care for the patient. Although numerous benefits of this service have been documented, little is known about hospital readmission rates and factors associated with these readmissions.
OBJECTIVE: Our aim was to investigate factors associated with 30-day hospital readmission among patients receiving a consultation from an inpatient palliative care (ICP) team.
DESIGN: We conducted a retrospective cohort study.
SETTING/SUBJECTS: Data from 408 managed care patients 65 years old and older were collected in 2007-2009 following an IPC consultation and subsequent hospital discharge.
MEASUREMENTS: IPC and medical service use records were utilized.
RESULTS: Among IPC patients, 10% of those discharged from the hospital were readmitted within 30 days. Factors associated with hospital readmission included being discharged from the hospital with no care in the home or to a nursing facility. Receipt of hospice or home-based palliative care post-discharge was associated with significantly lower odds of hospital readmission.
CONCLUSIONS: This study found that receipt of palliative care following hospital discharge was an important factor in reducing 30-day hospital readmissions. Further study is needed to evaluate the effectiveness of longitudinal palliative care models in reducing 30-day hospital readmissions among seriously ill patients.
Susan Enguidanos; Evie Vesper; Karl Lorenz
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-10-09
Journal Detail:
Title:  Journal of palliative medicine     Volume:  15     ISSN:  1557-7740     ISO Abbreviation:  J Palliat Med     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-04     Completed Date:  2013-05-15     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  9808462     Medline TA:  J Palliat Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1356-61     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Critical Illness*
Medical Audit
Palliative Care
Patient Care Team
Patient Readmission* / statistics & numerical data
Retrospective Studies
Time Factors

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