Predictive model of readmission to internal medicine wards

Zapatero, Antonio; Barba, Raquel; Marco, Javier; Hinojosa, Juan; Plaza, Susana; Losa, Juan Emilio; Canora, Jesús

doi:10.1016/j.ejim.2012.01.005

Cited by 59 publications

(69 citation statements)

References 28 publications

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“…These findings are broadly consistent with other observations, showing that previous hospital admission, morbidity/comorbidity and also functional disability and length of hospital stay were common risk factors in people aged ≥ 75 years [9]. In some studies, the duration of hospital stay (defined as longer than the 90th percentile of hospital stays or than median or than 3 days) was associated with a higher risk of short term readmission [12,[19][20][21], most likely indicative of the severity of the basic illness. In the present study the duration of hospitalization did not affect the rate of readmission.…”

Section: Discussionsupporting

confidence: 89%

Risk factors for hospital readmission of elderly patients

Franchi

Nobili

Mari

et al. 2013

European Journal of Internal Medicine

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Background: The aim of this study was to identify which factors were associated with a risk of hospital readmission within 3 months after discharge of a sample of elderly patients admitted to internal medicine and geriatric wards. Methods: Of the 1178 patients aged 65 years or more and discharged from one of the 66 wards of the 'Registry Politerapie SIMI (REPOSI)' during 2010, 766 were followed up by phone interview 3 months after discharge and were included in this analysis. Univariate and multivariate logistic regression models were used to evaluate the association of several variables with rehospitalization within 3 months from discharge. Results: Nineteen percent of patients were readmitted at least once within 3 months after discharge. By univariate analysis in-hospital clinical adverse events (AEs), a previous hospital admission, number of diagnoses and drugs, comorbidity and severity index (according to Cumulative Illness Rating Scale-CIRS), vascular and liver diseases with a level of impairment at discharge of 3 or more at CIRS were significantly associated with risk of readmission. Multivariate logistic regression analysis showed that only AEs during hospitalization, previous hospital admission, and vascular and liver diseases were significantly associated with the likelihood of readmission.Conclusions: The results demonstrate the need for increased medical attention towards elderly patients discharged from hospital with characteristics such as AEs during the hospitalization, previous admission, vascular and liver diseases.

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Section: Discussionsupporting

confidence: 89%

Risk factors for hospital readmission of elderly patients

Franchi

Nobili

Mari

et al. 2013

European Journal of Internal Medicine

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“…Yet, some limitations of this study should be pointed out: we relied on administrative data, which might have included coding errors or low codification for some of the variables (i.e., obesity); however, we have extensively used this database for other research purposes, 21,22 and similar administrative databases have been used seeking results for hypotheses related to ours. 9 Data pertained to internal medicine departments and might not exactly reflect data from other different medical specialties.…”

Section: Discussionmentioning

confidence: 99%

Absence of interaction of diabetes mellitus with chronic kidney disease on mortality in acute heart failure

et al. 2014

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“…Se ha descrito mayor frecuencia de reingresos en personas de edad avanzada 2,25,26,29 , y en el primer año de vida 30,31 . La mayor probabilidad de reingresos en el grupo de edad mayor de 65 años puede relacionarse con la presencia más frecuente en ellos de varias comorbilidades, marcadores de fragilidad o discapacidad severa 32,33 , aspectos que no evaluamos.…”

Section: Grupos De Edadunclassified

“…25 de casi un millón de egresos de Medicina Interna, esas mismas categorías de diagnós-tico y otras ocho que incluyen el cáncer se asociaron con el riesgo de reingreso. Esos estudios usaron métodos basados en grupos relacionados por diagnóstico, y no capítulos de CIE-10 como el nuestro, sin embargo, nuestro estudio concuerda con ellos en el predominio de las enfermedades cardiovasculares, pulmonares y neoplásicas en los pacientes que reingresan.…”

Section: Tablaunclassified

“…En el estudio de Jencks et al 2 , el tiempo de estancia mostró mayor influencia en el riesgo de re-hospitalización que otros factores como edad, el sexo, la raza y grado de discapacidad. La mayor estancia hospitalaria también fue identificada como factor predictor de reingresos en los estudios de Zapatero et al 25 y de van Walraven et al 36 . Nuestras observaciones sobre la estancia y los reingresos coinciden de forma general con lo descrito en la literatura.…”

Section: Tiempo De Estanciaunclassified

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Frecuencia de reingresos hospitalarios y factores asociados en afiliados a una administradora de servicios de salud en Colombia

et al. 2016

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Resumen: Los reingresos hospitalarios son frecuentes y costosos, en Colombia existe poca información. El objetivo fue establecer la frecuencia de reingresos hospitalarios por cualquier causa a 30 días y factores asociados. Se trata de un estudio analítico con cohorte retrospectiva 64.969 hospitalizaciones entre enero de 2008 y enero de 2009 en 47 ciudades colombianas 6.573 reingresos hospitalarios, prevalencia: 10,1% (hombres 10,9%; mujeres 9,5%), 44,7% en > 65 años. Mortalidad mayor en reingresos hospitalarios (5,8% vs. 1,8%). Mayor carga de reingresos hospitalarios en grupo sistema circulatorio. Mayor probabilidad de reingresos hospitalarios en enfermedades hematológicas y neoplasias. Estancia hospitalaria promedio durante el primer ingreso: 7 días en pacientes que reingresaron y 4,5 en quienes no. Costo total mayor para reingresos hospitalarios (USD 21.998.275): 15,8% del costo total de hospitalizaciones. Mayor prevalencia en pacientes remitidos (18,8%) y de consulta externa (13,7%). Los reingresos hospitalarios son frecuentes, se asocian con mayor estancia, mortalidad y costo. Mayor riesgo de reingresos hospitalarios en sexo masculino, > 65 años, pacientes remitidos de otra institución, enfermedades hematológicas y neoplasias.

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Predictive model of readmission to internal medicine wards

Cited by 59 publications

References 28 publications

Risk factors for hospital readmission of elderly patients

Risk factors for hospital readmission of elderly patients

Absence of interaction of diabetes mellitus with chronic kidney disease on mortality in acute heart failure

Frecuencia de reingresos hospitalarios y factores asociados en afiliados a una administradora de servicios de salud en Colombia

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