Understanding 30‐day re‐admission after hospitalisation of older patients for diabetes: identifying those at greatest risk

Medication Discrepancies in Discharge Summaries and Associated Risk Factors for Elderly Patients with Many Drugs

“…Accordingly, its accuracy is crucial to enable smooth care transitions, but is often deficient according to primary care clinicians and previous studies [16,17]. However, many studies include only a small sample of patients and have not focused solely on the elderly who are at a particular risk of re-admission and adverse outcomes after hospital discharge [18,19]. The aim of this study was to examine the medication discrepancy rate and types for discharge summaries for elderly patients with many drugs, as well as the organisational, and care-and patient-specific factors affecting these errors.…”

Utility of the Hospital Admission Risk Programme diabetes risk calculator in identifying patients with type 2 diabetes at risk of unplanned hospital presentations

“…1 The management of patients with T2D is therefore complex and despite best medical outpatient care, they may have frequent unplanned contact with the acute hospital system acutely, generating significant direct and indirect health costs. 4,5 Furthermore, these factors are also important contributors towards the subsequent length of hospital stay. 3 Multiple factors have been identified that predict the likelihood of unplanned presentation or admission to hospital for patients with diabetes.…”

“…2 In fact, the direct costs of hospital-based services are substantial and are large drivers of the global costs of managing diabetes. 4,5 Of note, a study in the United States demonstrated that the majority of patients with T2D were hospitalised for nondiabetes-related reasons and older age, use of insulin and previous hospital admission(s) were associated with a greater likelihood of hospitalisation overall. These not only include specific aspects of medical management but additional factors, such as age, gender, household income, lifestyle, general health and well-being.…”

“…These not only include specific aspects of medical management but additional factors, such as age, gender, household income, lifestyle, general health and well-being. 4,5 Furthermore, these factors are also important contributors towards the subsequent length of hospital stay. 4,5 Of note, a study in the United States demonstrated that the majority of patients with T2D were hospitalised for nondiabetes-related reasons and older age, use of insulin and previous hospital admission(s) were associated with a greater likelihood of hospitalisation overall.…”

“…4,5 Furthermore, these factors are also important contributors towards the subsequent length of hospital stay. 4,5 Of note, a study in the United States demonstrated that the majority of patients with T2D were hospitalised for nondiabetes-related reasons and older age, use of insulin and previous hospital admission(s) were associated with a greater likelihood of hospitalisation overall. 6 In addition, previous admissions to hospital or presentations to the Emergency Department can predict future hospitalisation.…”