The Impact of Weight Loss Prior to Hospital Readmission
Hospital readmissions place a burden on hospitals. Reducing the readmission number and duration will help reduce the burden. Weight loss might affect readmission risk, especially the risk of an early (<30 days) readmission. This study sought to identify the predictors and the impact of weight los...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/9/3074 |
| _version_ | 1797602366663426048 |
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| author | Kellie Fusco Yogesh Sharma Paul Hakendorf Campbell Thompson |
| author_facet | Kellie Fusco Yogesh Sharma Paul Hakendorf Campbell Thompson |
| author_sort | Kellie Fusco |
| collection | DOAJ |
| description | Hospital readmissions place a burden on hospitals. Reducing the readmission number and duration will help reduce the burden. Weight loss might affect readmission risk, especially the risk of an early (<30 days) readmission. This study sought to identify the predictors and the impact of weight loss prior to a delayed readmission (>30 days). Body mass index (BMI) was measured during the index admission and first readmission. Patients, after their readmission, were assessed retrospectively to identify the characteristics of those who had lost >5% weight prior to that readmission. Length of stay (LOS), time spent in the intensive care unit (ICU) and the one-year mortality of those patients who lost weight were compared to the outcomes of those who remained weight-stable using multilevel mixed-effects regression adjusting for BMI, Charlson comorbidity index (CCI), ICU hours and relative stay index (RSI). Those who were at risk of weight loss prior to readmission were identifiable based upon their age, BMI, CCI and LOS. Of 1297 patients, 671 (51.7%) remained weight-stable and 386 (29.7%) lost weight between admissions. During their readmission, those who had lost weight had a significantly higher LOS (IRR 1.17; 95% CI 1.12, 1.22: <i>p</i> < 0.001), RSI (IRR 2.37; 95% CI 2.27, 2.47: <i>p</i> < 0.001) and an increased ICU LOS (IRR 2.80; 95% CI 2.65, 2.96: <i>p</i> < 0.001). This study indicates that weight loss prior to a delayed readmission is predictable and leads to worse outcomes during that readmission. |
| first_indexed | 2024-03-11T04:15:07Z |
| format | Article |
| id | doaj.art-4ecc0e8d461643c8a98f72466c9d804a |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T04:15:07Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-4ecc0e8d461643c8a98f72466c9d804a2023-11-17T23:10:23ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01129307410.3390/jcm12093074The Impact of Weight Loss Prior to Hospital ReadmissionKellie Fusco0Yogesh Sharma1Paul Hakendorf2Campbell Thompson3Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, AustraliaDepartment of General Medicine, Division of Medicine, Cardiac & Critical Care, Flinders Medical Centre, Bedford Park, SA 5042, AustraliaCollege of Medicine and Public Health, Flinders University, Adelaide, SA 5001, AustraliaAdelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, AustraliaHospital readmissions place a burden on hospitals. Reducing the readmission number and duration will help reduce the burden. Weight loss might affect readmission risk, especially the risk of an early (<30 days) readmission. This study sought to identify the predictors and the impact of weight loss prior to a delayed readmission (>30 days). Body mass index (BMI) was measured during the index admission and first readmission. Patients, after their readmission, were assessed retrospectively to identify the characteristics of those who had lost >5% weight prior to that readmission. Length of stay (LOS), time spent in the intensive care unit (ICU) and the one-year mortality of those patients who lost weight were compared to the outcomes of those who remained weight-stable using multilevel mixed-effects regression adjusting for BMI, Charlson comorbidity index (CCI), ICU hours and relative stay index (RSI). Those who were at risk of weight loss prior to readmission were identifiable based upon their age, BMI, CCI and LOS. Of 1297 patients, 671 (51.7%) remained weight-stable and 386 (29.7%) lost weight between admissions. During their readmission, those who had lost weight had a significantly higher LOS (IRR 1.17; 95% CI 1.12, 1.22: <i>p</i> < 0.001), RSI (IRR 2.37; 95% CI 2.27, 2.47: <i>p</i> < 0.001) and an increased ICU LOS (IRR 2.80; 95% CI 2.65, 2.96: <i>p</i> < 0.001). This study indicates that weight loss prior to a delayed readmission is predictable and leads to worse outcomes during that readmission.https://www.mdpi.com/2077-0383/12/9/3074unplanned hospital readmissionsclinical outcomeslength of stayweight loss |
| spellingShingle | Kellie Fusco Yogesh Sharma Paul Hakendorf Campbell Thompson The Impact of Weight Loss Prior to Hospital Readmission Journal of Clinical Medicine unplanned hospital readmissions clinical outcomes length of stay weight loss |
| title | The Impact of Weight Loss Prior to Hospital Readmission |
| title_full | The Impact of Weight Loss Prior to Hospital Readmission |
| title_fullStr | The Impact of Weight Loss Prior to Hospital Readmission |
| title_full_unstemmed | The Impact of Weight Loss Prior to Hospital Readmission |
| title_short | The Impact of Weight Loss Prior to Hospital Readmission |
| title_sort | impact of weight loss prior to hospital readmission |
| topic | unplanned hospital readmissions clinical outcomes length of stay weight loss |
| url | https://www.mdpi.com/2077-0383/12/9/3074 |
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