Hospital Readmissions - Independent Predictors of 30-day Readmissions derived from a 10 year Database
Kidney, R.; Sexton, E.; Galen, L.V.; Silke, B.; Nanayakkara, P.; Kellett, J.
Acute Medicine 16(1): 4-9
2017
ISSN/ISBN: 1747-4892 PMID: 28424798 Document Number: 17163
Unplanned medical 30 day readmissions place a burden on the provision of acute hospital services and are increasingly used as quality indicators to assess quality of care in hospitals. Multivariable logistic regression of a 10 year database showed that four factors were most strongly associated with early readmission: Charlson comorbidity index >=1, respiratory disease as a principal diagnosis, liver disease and alcohol-related illness as an additional diagnosis, and the number of previous readmissions. Disease and patient-related factors beyond control of the hospital are the factors most strongly associated with 30 day readmission to hospital, suggesting that this may not be an appropriate quality indicator.
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