Identification of factors associated with hospital readmission and development of a predictive model.
AUTOR(ES)
Corrigan, J M
RESUMO
Multiple hospital admissions, especially those related to the chronically ill, represent a particular challenge to both the acute and long-term care sectors to identify effective methods of resource management. This study analyzes the multiple admission patterns associated with a cohort of 4,219 adult medical-surgical patients discharged alive from a community teaching hospital in Michigan. The sample was divided into two groups: 3,818 patients who survived and 392 who expired during the one-year follow-up period. For the surviving subsample, the characteristics found to be directly associated with the likelihood of readmission included increased age, advanced stage of disease, greater index-episode length of stay, discharge by an internist rather than a surgeon, Medicare as expected source of payment, decreased physician age, discharge to a community setting, and increased number of prior hospital episodes. For the subsample who died, only one explanatory variable was significantly associated with an increased likelihood of readmission-discharge to a community setting (with or without home care) rather than a nursing home. The article includes illustrates of the importance of decisions regarding posthospital, long-term care services on the likelihood of rehospitalization.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1069865Documentos Relacionados
- Prognosis in lung cancer: physicians' opinions compared with outcome and a predictive model.
- Hospital expenses in a sector model.
- Neurological dysfunction and hyperactive behavior associated with antiphospholipid antibodies. A mouse model.
- Risk factors for readmission to hospital for asthma in childhood.
- Factors influencing emergency medical readmission risk in a UK district general hospital: A prospective study