Document Detail

Factors influencing hospital readmission rates after acute medical treatment.
MedLine Citation:
PMID:  19886100     Owner:  NLM     Status:  MEDLINE    
It is a concern that increasing pressure to diagnose, treat and discharge patients rapidly is leading to unacceptably high readmission rates. Readmissions were studied over a two-month period. Patients were identified through the hospital coding system, and electronic discharge summaries provided details of each admission. In total, 69 readmissions were identified, representing 4.34% of medical admissions. Readmitted patients were older than those with single admissions (median age 75 and 71 years, respectively; p < 0.05). Initial length of stay was greater in those patients who would go on to be readmitted (median six days; single admission, two days; p < 0.0001). Seventy-one per cent of readmissions were deemed avoidable, with discharge before conclusive therapy being the leading factor implicated (56%). Readmission is more likely in older patients with complex care needs. Rapid throughput of patients is not associated with readmission. The majority of readmissions can potentially be avoided with judicious medical care.
Z Shalchi; S Saso; H K Li; E Rowlandson; R C Tennant
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical medicine (London, England)     Volume:  9     ISSN:  1470-2118     ISO Abbreviation:  Clin Med     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-11-04     Completed Date:  2009-12-01     Revised Date:  2010-05-04    
Medline Journal Info:
Nlm Unique ID:  101092853     Medline TA:  Clin Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  426-30     Citation Subset:  IM    
Acute Medical Assessment Unit, Northwick Park Hospital, North West London Hospitals NHS Trust, Middlesex.
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MeSH Terms
Aged, 80 and over
Cohort Studies
Emergency Medical Services*
Health Status
Length of Stay
Medical Errors*
Middle Aged
Patient Readmission / statistics & numerical data*
Retrospective Studies
Risk Factors
Treatment Outcome
Young Adult
Comment In:
Clin Med. 2010 Apr;10(2):201-2; author reply 202-3   [PMID:  20440890 ]
Clin Med. 2010 Apr;10(2):201; author reply 202-3   [PMID:  20438001 ]
Clin Med. 2010 Apr;10(2):202; author reply 202-3   [PMID:  20438002 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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