| Emergency medical readmission: long-term trends and impact on mortality. | |
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MedLine Citation:
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PMID: 21526689 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There is increasing emphasis on prevention of emergency medical readmissions. The broad pattern of acute medical readmissions was studied over a seven-year period and the impact of any readmission on 30-day mortality was recorded. Significant predictors of outcome, including co-morbidity and illness severity score, were entered into a multivariate regression model, adjusting the univariate estimates of the readmission status on mortality. In total, 23,114 consecutive acute medical patients were admitted between 2002-8; the overall readmission rate was 27%. Readmission independently predicted an increased 30-day mortality; the odds ratio, was 1.12 (95% confidence interval (CI) 1.09 to 1.14). This fell to 1.05 (95% CI 1.02 to 1.08) when adjusted for outcome predictors including acute illness severity. The trend for readmissions was to progressively increase over time; the median times between consecutive admissions formed an exponential time series. Efforts to reduce or avoid readmissions may depend on an ability to modify the underlying chronic disease. |
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Authors:
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Nigel Glynn; Kathleen Bennett; Bernard Silke |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical medicine (London, England) Volume: 11 ISSN: 1470-2118 ISO Abbreviation: Clin Med Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-04-29 Completed Date: 2011-06-02 Revised Date: 2011-08-22 |
Medline Journal Info:
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Nlm Unique ID: 101092853 Medline TA: Clin Med Country: England |
Other Details:
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Languages: eng Pagination: 114-8 Citation Subset: IM |
Affiliation:
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Division of Internal Medicine, St James's Hospital, Dublin, Ireland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Chi-Square Distribution Comorbidity Female Hospital Mortality* Humans Ireland Length of Stay / statistics & numerical data Male Middle Aged Patient Readmission / statistics & numerical data* Predictive Value of Tests Regression Analysis Severity of Illness Index |
| Comments/Corrections | |
Comment In:
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Clin Med. 2011 Aug;11(4):410
[PMID:
21853848
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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