Relationship between Anemia and Readmission among Older Patients in Rural Community Hospitals: A Retrospective Cohort Study
Readmission rates among older adults are a growing concern, and the association of readmission with anemia and the potential benefits of a systematic assessment and intervention remain unclear. This study investigated the association between anemia and readmission within 28 and 90 days in an older p...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/2/539 |
| _version_ | 1797339694682341376 |
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| author | Shiho Amano Ryuichi Ohta Chiaki Sano |
| author_facet | Shiho Amano Ryuichi Ohta Chiaki Sano |
| author_sort | Shiho Amano |
| collection | DOAJ |
| description | Readmission rates among older adults are a growing concern, and the association of readmission with anemia and the potential benefits of a systematic assessment and intervention remain unclear. This study investigated the association between anemia and readmission within 28 and 90 days in an older population. Data from 1280 patients admitted to the Department of General Medicine of Unnan City Hospital between April 2020 and December 2021 were retrospectively analyzed. Variables such as anemia status, Charlson comorbidity index (CCI) score, Functional Independence Measure (FIM) score, and dependent status were evaluated. Multivariate logistic regression was used to determine the associations between 28-day and 90-day readmissions. The average age was 84.9 years, and the prevalence of anemia was 36.4%. The readmission rates within 28 and 90 days were 10.4% and 19.1%, respectively. Anemia was significantly associated with readmission in both periods (28-day adjusted odds ratio, 2.28; 90-day adjusted odds ratio, 1.65). CCI score, FIM score, and dependent status were also identified as significant factors. Anemia is significantly associated with short- and medium-term readmissions in older patients. Addressing anemia, along with other identified factors, may help reduce readmission rates. |
| first_indexed | 2024-03-08T09:52:06Z |
| format | Article |
| id | doaj.art-9862f8260f364d5fbb1e7eac02b0045e |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T09:52:06Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-9862f8260f364d5fbb1e7eac02b0045e2024-01-29T14:02:49ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113253910.3390/jcm13020539Relationship between Anemia and Readmission among Older Patients in Rural Community Hospitals: A Retrospective Cohort StudyShiho Amano0Ryuichi Ohta1Chiaki Sano2Community Care, Unnan City Hospital, Daito-cho Iida, Unnan 699-1221, JapanCommunity Care, Unnan City Hospital, Daito-cho Iida, Unnan 699-1221, JapanDepartment of Community Medicine Management, Faculty of Medicine, Shimane University, Enya-cho, Izumo 693-8501, JapanReadmission rates among older adults are a growing concern, and the association of readmission with anemia and the potential benefits of a systematic assessment and intervention remain unclear. This study investigated the association between anemia and readmission within 28 and 90 days in an older population. Data from 1280 patients admitted to the Department of General Medicine of Unnan City Hospital between April 2020 and December 2021 were retrospectively analyzed. Variables such as anemia status, Charlson comorbidity index (CCI) score, Functional Independence Measure (FIM) score, and dependent status were evaluated. Multivariate logistic regression was used to determine the associations between 28-day and 90-day readmissions. The average age was 84.9 years, and the prevalence of anemia was 36.4%. The readmission rates within 28 and 90 days were 10.4% and 19.1%, respectively. Anemia was significantly associated with readmission in both periods (28-day adjusted odds ratio, 2.28; 90-day adjusted odds ratio, 1.65). CCI score, FIM score, and dependent status were also identified as significant factors. Anemia is significantly associated with short- and medium-term readmissions in older patients. Addressing anemia, along with other identified factors, may help reduce readmission rates.https://www.mdpi.com/2077-0383/13/2/539anemiareadmissionolder patientsJapanrural community hospital |
| spellingShingle | Shiho Amano Ryuichi Ohta Chiaki Sano Relationship between Anemia and Readmission among Older Patients in Rural Community Hospitals: A Retrospective Cohort Study Journal of Clinical Medicine anemia readmission older patients Japan rural community hospital |
| title | Relationship between Anemia and Readmission among Older Patients in Rural Community Hospitals: A Retrospective Cohort Study |
| title_full | Relationship between Anemia and Readmission among Older Patients in Rural Community Hospitals: A Retrospective Cohort Study |
| title_fullStr | Relationship between Anemia and Readmission among Older Patients in Rural Community Hospitals: A Retrospective Cohort Study |
| title_full_unstemmed | Relationship between Anemia and Readmission among Older Patients in Rural Community Hospitals: A Retrospective Cohort Study |
| title_short | Relationship between Anemia and Readmission among Older Patients in Rural Community Hospitals: A Retrospective Cohort Study |
| title_sort | relationship between anemia and readmission among older patients in rural community hospitals a retrospective cohort study |
| topic | anemia readmission older patients Japan rural community hospital |
| url | https://www.mdpi.com/2077-0383/13/2/539 |
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