Causes and patterns of readmissions in patients with common comorbidities: retrospective cohort study

Donzé, Jacques; Lipsitz, Stuart R.; Bates, David W.; Schnipper, Jeffrey L.

doi:10.1136/bmj.f7171

Cited by 183 publications

(188 citation statements)

References 24 publications

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“…A recent cohort showed that HF is the second leading cause of preventable hospitalization, among the most common medical diagnoses, accounting for 21.6% of hospital readmissions (4) , with profile of patients similar to our sample, the majority of male, mean age of 61 years.…”

Section: Discussionmentioning

confidence: 72%

“…In treating patients scenario with HF, adherence to treatment is defined as the following guidelines for proper and regular use of medications, low-sodium diet, physical exercise, engaging in preventive care and self-monitoring of signs and symptoms, component one broader set called self-care (4) . Often, hospital readmissions are preventable, either by the individual himself, adhering to medication and self-care actions, as the health system, with proper management by the multidisciplinary team (5)(6) .…”

Section: Introductionmentioning

confidence: 99%

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Associação entre autocuidado e reinternação hospitalar de pacientes com insuficiência cardíaca

2016

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Association between self-care and hospital readmissions of patients with heart failure ABSTRACT Objective: to assess the association between self-care and the number of hospital readmissions of patients with heart failure (ADHF) and test the applicability of two self-care assessment tools. longitudinal study, performed in a cardiology reference hospital in southern Brazil. Method: it included 82 patients with a mean age of 61.85±12.33 years, 57.3% male. The mean score of self-care assessment found the scales European Heart Failure Self-care Behavior Scale and Self-care Scale for Patients with Heart Failure was unsatisfactory. Results: it was observed an average of 2.57±1.66 rehospitalization last year for decompensated heart failure. There was a correlation between self-care scores with the number of hospital readmissions for decompensated HF. Education and age were associated to selfcare of HF patients. Conclusion: both scales assess self-care in a relevant way, and correlated their indexes. Descriptors: Heart Failure; Self-Care; Hospitalization; Nursing; Chronic Disease. RESUMO Objetivo: verifi car associação entre o autocuidado e o número de reinternações hospitalares de pacientes com diagnóstico de insufi ciência cardíaca (IC) descompensada, bem como testar a aplicabilidade de dois instrumentos de avaliação de autocuidado. Estudo longitudinal, realizado em um hospital de referência cardiológica do sul do Brasil. Método: foram incluídos 82 pacientes, com idade média de 61,85±12,33 anos, 57,3% do sexo masculino. O escore médio da avaliação de autocuidado encontrado pelas escalas European Heart Failure Self-care Behavior Scale e a Escala de Autocuidado para Pacientes com Insufi ciência Cardíaca foi insatisfatório. Resultados: foi verifi cada uma média de 2,57±1,66 reinternações hospitalares no último ano por descompensação da IC. Houve correlação entre os escores de autocuidado com número de reinternações hospitalares por IC descompensada. Escolaridade e idade mostraram-se associadas ao autocuidado dos pacientes com IC. Conclusão: ambas as escalas avaliam o autocuidado de forma relevante, sendo correlacionados os seus índices. Descritores: Insufi ciência Cardíaca; Autocuidado; Hospitalização; Enfermagem; Doença Crônica. RESUMEN Objetivo: evaluar la asociación entre el autocuidado y el número de reingresos hospitalarios de pacientes con insufi ciencia cardíaca (ICAD) y probar la aplicabilidad de los dos instrumentos de evaluación de autocuidado. estudio longitudinal, realizado en un hospital de referencia de cardiología en el sur de Brasil. Método: se incluyó a 82 pacientes con una edad media de 61,85±12,33 años, el 57,3% hombres. La media de puntuación de la evaluación de autocuidado encontró el escalas insufi ciencia cardiaca Self-care Escala de Conducta Europeo y de la Escala sobre el cuidado personal para pacientes con insufi ciencia cardíaca fue insatisfactoria. Resultados: se observó un promedio de 2,57±1,66 rehospitalización año pasado para la insufi ciencia cardíaca descompensada. Hubo una correlación en...

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Section: Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Associação entre autocuidado e reinternação hospitalar de pacientes com insuficiência cardíaca

2016

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“…To date, there has been no consensus on the definition of comorbidity yet, but the core concept is the coexistence of more than one condition in the same patient [59]. Evidence shows that the top primary diagnoses of potentially avoidable readmissions are often possible complications of a comorbidity [60] and higher comorbidity has been linked to increased readmission risks [61,62]. In readmission predictions, comorbidities are represented either in the form of the number of comorbidities, the comorbidity index, or the presence of a comorbid condition.…”

Section: Comorbidities Conditions Lab Tests and Medicationsmentioning

confidence: 99%

A Systematic Review of Highly Generalizable Risk Factors for Unplanned 30-Day All-Cause Hospital Readmissions

Zhao¹,

Yoo²

2017

J Health Med Inform

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Background: Hospital readmissions are common and expensive. Numerous global efforts have been devoted to predicting readmissions. However, for many reasons including the variations in the studied populations and inconsistent definitions of readmissions, the outcomes of some studies can hardly be generalized to other studies inside or outside the same country or region. Objective:The objective was to identify highly generalizable risk factors for unplanned 30-day all-cause hospital readmissions to guide the selection of baseline predictor variables in different readmission studies.Methods: In July 2017, PubMed was searched to identify articles pertaining to the risk factors for unplanned 30-day all-cause hospital readmissions. To identify potentially eligible risk factors, characteristics of the selected studies were manually extracted. The generalizability of the risk factors was assessed with predefined criteria.Results: 13 articles were eligible for the review. A total of 42 risk factors were identified and 34 of them were found to be highly generalizable. Conclusions:The 34 risk factors are not specific to any populations or places, and the corresponding predictor variables can serve as baseline variables in readmission prediction studies. No major difference has been observed between the risk factors identified inside and outside the United States except that US studies appeared to prefer composite comorbidity measures. All the reviewed studies have used traditional statistical regression-based methods to identify risk factors and more applications of data mining techniques are expected in this field.

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“…(9) The relative numbers of patients with each co-morbidity are illustrated in Figure 2. All readmitted patients with a co-morbid condition of the immune system were readmitted with a possible complication of that condition.…”

Section: Co-morbid Conditionsmentioning

confidence: 99%

“…(3,7) Avoiding unnecessary readmissions relies on understanding which patients are likely to be readmitted. Donzé et al (9) report that potentially avoidable readmissions are commonly related to complications associated with seven co-morbid conditions: diabetes, chronic heart failure, atrial fibrillation, ischaemic heart disease, neoplasm, chronic obstructive pulmonary disease (COPD) and chronic kidney disease. Patients with these co-morbid conditions are therefore a high-risk group.…”

Section: Introductionmentioning

confidence: 99%

Readmissions at Royal Oldham Hospital AMU

Hogg

2016

MMJ

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Causes and patterns of readmissions in patients with common comorbidities: retrospective cohort study

Abstract: Objective To evaluate the primary diagnoses and patterns of 30 day readmissions and potentially avoidable readmissions in medical patients with each of the most common comorbidities.

Cited by 183 publications

References 24 publications

Associação entre autocuidado e reinternação hospitalar de pacientes com insuficiência cardíaca

Associação entre autocuidado e reinternação hospitalar de pacientes com insuficiência cardíaca

A Systematic Review of Highly Generalizable Risk Factors for Unplanned 30-Day All-Cause Hospital Readmissions

Readmissions at Royal Oldham Hospital AMU

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