Clinical characteristics and risk factors of preventable hospital readmissions within 30 days
Abstract Knowledge regarding preventable hospital readmissions is scarce. Our aim was to compare the clinical characteristics of potentially preventable readmissions (PPRs) with non-PPRs. Additionally, we aimed to identify risk factors for PPRs. Our study included readmissions within 30 days after d...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-10-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-99250-8 |
| _version_ | 1819009043324207104 |
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| author | Elsemieke A. I. M. Meurs Carl E. H. Siegert Elien Uitvlugt Najla El Morabet Ruth J. Stoffels Dirk W. Schölvinck Laura F. Taverne Pim B. J. E. Hulshof Hilde J. S. ten Horn Philou C. W. Noordman Josien van Es Nicky van der Heijde Meike H. van der Ree Maurice A. A. J. van den Bosch Fatma Karapinar-Çarkit |
| author_facet | Elsemieke A. I. M. Meurs Carl E. H. Siegert Elien Uitvlugt Najla El Morabet Ruth J. Stoffels Dirk W. Schölvinck Laura F. Taverne Pim B. J. E. Hulshof Hilde J. S. ten Horn Philou C. W. Noordman Josien van Es Nicky van der Heijde Meike H. van der Ree Maurice A. A. J. van den Bosch Fatma Karapinar-Çarkit |
| author_sort | Elsemieke A. I. M. Meurs |
| collection | DOAJ |
| description | Abstract Knowledge regarding preventable hospital readmissions is scarce. Our aim was to compare the clinical characteristics of potentially preventable readmissions (PPRs) with non-PPRs. Additionally, we aimed to identify risk factors for PPRs. Our study included readmissions within 30 days after discharge from 1 of 7 hospital departments. Preventability was assessed by multidisciplinary meetings. Characteristics of the readmissions were collected and 23 risk factors were analyzed. Of the 1120 readmissions, 125 (11%) were PPRs. PPRs occurred equally among different departments (p = 0.21). 29.6% of PPRs were readmitted by a practitioner of a different medical specialty than the initial admission (IA) specialist. The PPR group had more readmissions within 7 days (PPR 54% vs. non-PPR 44%, p = 0.03). The median LOS was 1 day longer for PPRs (p = 0.16). Factors associated with PPR were higher age (p = 0.004), higher socio-economic status (p = 0.049), fewer prior hospital admissions (p = 0.004), and no outpatient visit prior to readmission (p = 0.025). This study found that PPRs can occur at any department in the hospital. There is not a single type of patient that can easily be pinpointed to be at risk of a PPR, probably due to the multifactorial nature of PPRs. |
| first_indexed | 2024-12-21T00:50:05Z |
| format | Article |
| id | doaj.art-6e73a49969534dbca42c675850759961 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-21T00:50:05Z |
| publishDate | 2021-10-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-6e73a49969534dbca42c6758507599612022-12-21T19:21:25ZengNature PortfolioScientific Reports2045-23222021-10-011111810.1038/s41598-021-99250-8Clinical characteristics and risk factors of preventable hospital readmissions within 30 daysElsemieke A. I. M. Meurs0Carl E. H. Siegert1Elien Uitvlugt2Najla El Morabet3Ruth J. Stoffels4Dirk W. Schölvinck5Laura F. Taverne6Pim B. J. E. Hulshof7Hilde J. S. ten Horn8Philou C. W. Noordman9Josien van Es10Nicky van der Heijde11Meike H. van der Ree12Maurice A. A. J. van den Bosch13Fatma Karapinar-Çarkit14Department of Clinical Pharmacy, OLVG, Noord-HollandDepartment of Internal Medicine, OLVG, Noord-HollandDepartment of Clinical Pharmacy, OLVG, Noord-HollandDepartment of Clinical Pharmacy, OLVG, Noord-HollandDepartment of Quality and Improvement, OLVG, Noord-HollandDepartment of Gastroenterology, OLVG, Noord-HollandDepartment of Cardiology, OLVG, Noord-HollandDepartment of Internal Medicine, OLVG, Noord-HollandDepartment of Pulmonology, OLVG, Noord-HollandDepartment of Surgery, OLVG, Noord-HollandDepartment of Pulmonology, OLVG, Noord-HollandDepartment of Surgery, OLVG, Noord-HollandDepartment of Internal Medicine, OLVG, Noord-HollandDepartment of Radiology, OLVG, Noord-HollandDepartment of Clinical Pharmacy, OLVG, Noord-HollandAbstract Knowledge regarding preventable hospital readmissions is scarce. Our aim was to compare the clinical characteristics of potentially preventable readmissions (PPRs) with non-PPRs. Additionally, we aimed to identify risk factors for PPRs. Our study included readmissions within 30 days after discharge from 1 of 7 hospital departments. Preventability was assessed by multidisciplinary meetings. Characteristics of the readmissions were collected and 23 risk factors were analyzed. Of the 1120 readmissions, 125 (11%) were PPRs. PPRs occurred equally among different departments (p = 0.21). 29.6% of PPRs were readmitted by a practitioner of a different medical specialty than the initial admission (IA) specialist. The PPR group had more readmissions within 7 days (PPR 54% vs. non-PPR 44%, p = 0.03). The median LOS was 1 day longer for PPRs (p = 0.16). Factors associated with PPR were higher age (p = 0.004), higher socio-economic status (p = 0.049), fewer prior hospital admissions (p = 0.004), and no outpatient visit prior to readmission (p = 0.025). This study found that PPRs can occur at any department in the hospital. There is not a single type of patient that can easily be pinpointed to be at risk of a PPR, probably due to the multifactorial nature of PPRs.https://doi.org/10.1038/s41598-021-99250-8 |
| spellingShingle | Elsemieke A. I. M. Meurs Carl E. H. Siegert Elien Uitvlugt Najla El Morabet Ruth J. Stoffels Dirk W. Schölvinck Laura F. Taverne Pim B. J. E. Hulshof Hilde J. S. ten Horn Philou C. W. Noordman Josien van Es Nicky van der Heijde Meike H. van der Ree Maurice A. A. J. van den Bosch Fatma Karapinar-Çarkit Clinical characteristics and risk factors of preventable hospital readmissions within 30 days Scientific Reports |
| title | Clinical characteristics and risk factors of preventable hospital readmissions within 30 days |
| title_full | Clinical characteristics and risk factors of preventable hospital readmissions within 30 days |
| title_fullStr | Clinical characteristics and risk factors of preventable hospital readmissions within 30 days |
| title_full_unstemmed | Clinical characteristics and risk factors of preventable hospital readmissions within 30 days |
| title_short | Clinical characteristics and risk factors of preventable hospital readmissions within 30 days |
| title_sort | clinical characteristics and risk factors of preventable hospital readmissions within 30 days |
| url | https://doi.org/10.1038/s41598-021-99250-8 |
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