Predictors of readmission in a medical department of a tertiary university hospital in the Philippines
Abstract Background Identifying factors that increase the risk for hospital readmission helps in determining potential targets for quality improvement efforts. The main objective of this study was to examine factors that predict increased risk of hospital readmission within 30 days of hospital disch...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-09608-z |
| _version_ | 1797801535559696384 |
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| author | Janika Adrienne L. Balane Celina Daia DG. Yap Cary Amiel G. Villanueva Lia Aileen M. Palileo-Villanueva Diana R. Tamondong-Lachica |
| author_facet | Janika Adrienne L. Balane Celina Daia DG. Yap Cary Amiel G. Villanueva Lia Aileen M. Palileo-Villanueva Diana R. Tamondong-Lachica |
| author_sort | Janika Adrienne L. Balane |
| collection | DOAJ |
| description | Abstract Background Identifying factors that increase the risk for hospital readmission helps in determining potential targets for quality improvement efforts. The main objective of this study was to examine factors that predict increased risk of hospital readmission within 30 days of hospital discharge of patients under the General Medicine service of a tertiary government hospital in Manila, Philippines. Methods We performed a retrospective cohort study which included service patients 19 years old and above readmitted within 30 days following discharge. A total of 324 hospital readmissions within 30 days of discharge from January 1 to December 31, 2019 were reviewed. We estimated the rate of 30-day readmission and identified factors associated with preventable readmissions using multivariable logistic regression. Results Of the 4,010 hospitalizations under General Medicine service in 2019, 602 (18%) were readmissions within 30 days of discharge, majority of which were related to the index admission (90%) and unplanned (68%). Predictors of preventable readmission were emergency readmission (OR 3.37, 95% CI 1.72 to 6.60), having five to ten medications at discharge (OR 1.78, 95% CI 1.10 to 2.87), and presence of nosocomial infection (OR 1.86, 95% CI 1.09 to 3.17). The most frequent reason for readmission among preventable ones is health-care related infection (42.9%). Conclusions We identified factors which increased the likelihood of preventable readmissions such as type of readmission, number of medications per day, and presence of nosocomial infections. We propose that these issues be addressed to improve healthcare delivery and reduce readmission-related expenditures. Further studies should be pursued to identify impactful evidence-based practices. |
| first_indexed | 2024-03-13T04:51:57Z |
| format | Article |
| id | doaj.art-d87b7f08c95a4609960bb8b5aa4791c3 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-13T04:51:57Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-d87b7f08c95a4609960bb8b5aa4791c32023-06-18T11:10:28ZengBMCBMC Health Services Research1472-69632023-06-012311810.1186/s12913-023-09608-zPredictors of readmission in a medical department of a tertiary university hospital in the PhilippinesJanika Adrienne L. Balane0Celina Daia DG. Yap1Cary Amiel G. Villanueva2Lia Aileen M. Palileo-Villanueva3Diana R. Tamondong-Lachica4Department of Medicine, University of the Philippines- Philippine General HospitalDepartment of Medicine, University of the Philippines- Philippine General HospitalDepartment of Medicine, University of the Philippines- Philippine General HospitalUniversity of the Philippines-College of Medicine, University of the Philippines ManilaDepartment of Medicine, Division of Adult Medicine, University of the Philippines- Philippine General HospitalAbstract Background Identifying factors that increase the risk for hospital readmission helps in determining potential targets for quality improvement efforts. The main objective of this study was to examine factors that predict increased risk of hospital readmission within 30 days of hospital discharge of patients under the General Medicine service of a tertiary government hospital in Manila, Philippines. Methods We performed a retrospective cohort study which included service patients 19 years old and above readmitted within 30 days following discharge. A total of 324 hospital readmissions within 30 days of discharge from January 1 to December 31, 2019 were reviewed. We estimated the rate of 30-day readmission and identified factors associated with preventable readmissions using multivariable logistic regression. Results Of the 4,010 hospitalizations under General Medicine service in 2019, 602 (18%) were readmissions within 30 days of discharge, majority of which were related to the index admission (90%) and unplanned (68%). Predictors of preventable readmission were emergency readmission (OR 3.37, 95% CI 1.72 to 6.60), having five to ten medications at discharge (OR 1.78, 95% CI 1.10 to 2.87), and presence of nosocomial infection (OR 1.86, 95% CI 1.09 to 3.17). The most frequent reason for readmission among preventable ones is health-care related infection (42.9%). Conclusions We identified factors which increased the likelihood of preventable readmissions such as type of readmission, number of medications per day, and presence of nosocomial infections. We propose that these issues be addressed to improve healthcare delivery and reduce readmission-related expenditures. Further studies should be pursued to identify impactful evidence-based practices.https://doi.org/10.1186/s12913-023-09608-zHospital readmissionPredictorsHealth serviceQuality improvement |
| spellingShingle | Janika Adrienne L. Balane Celina Daia DG. Yap Cary Amiel G. Villanueva Lia Aileen M. Palileo-Villanueva Diana R. Tamondong-Lachica Predictors of readmission in a medical department of a tertiary university hospital in the Philippines BMC Health Services Research Hospital readmission Predictors Health service Quality improvement |
| title | Predictors of readmission in a medical department of a tertiary university hospital in the Philippines |
| title_full | Predictors of readmission in a medical department of a tertiary university hospital in the Philippines |
| title_fullStr | Predictors of readmission in a medical department of a tertiary university hospital in the Philippines |
| title_full_unstemmed | Predictors of readmission in a medical department of a tertiary university hospital in the Philippines |
| title_short | Predictors of readmission in a medical department of a tertiary university hospital in the Philippines |
| title_sort | predictors of readmission in a medical department of a tertiary university hospital in the philippines |
| topic | Hospital readmission Predictors Health service Quality improvement |
| url | https://doi.org/10.1186/s12913-023-09608-z |
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