Factors associated to emergency hospital readmittance in digestive and hepatobiliary diseases;Factores asociados al reingreso hospitalario urgente en enfermedades digestivas y hepatobiliares

Medicina Clinica

Volumn 107, Issue 1, 1996, Pages 4-13

  Peiró, Salvador ^a,c   Librero, Julián ^a   Martínez, Adolfo Benages ^b  

^a Inst Valencia d'Estudis en Salut P

^b Server de Medicina Digestiva

^c Inst Valencia d'Estudis Salut Pub   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; BILIARY TRACT DISEASE; COMPARATIVE STUDY; DIGESTIVE SYSTEM DISEASE; EMERGENCY; FEMALE; HEALTH CARE QUALITY; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; LIVER DISEASE; MALE; MIDDLE AGED; PROPORTIONAL HAZARDS MODEL; RISK FACTOR;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BILIARY TRACT DISEASES; DIGESTIVE SYSTEM DISEASES; EMERGENCIES; FEMALE; HUMANS; LENGTH OF STAY; LIVER DISEASES; MALE; MIDDLE AGED; PATIENT READMISSION; PROPORTIONAL HAZARDS MODELS; QUALITY OF HEALTH CARE; RISK FACTORS;

EID: 3042970314     PISSN: 00257753     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (100)

1. Anderson GF, Steinberg EP. Hospital readmissions in the Medicare population. N Engl J Med 1984; 311: 1.349-1.353
2. Freeborn DK, Pope CR, Mullooly JP. McFarland BM. Consistently high users of medical care among the elderly Med Care 1990, 28: 527-540
3. Roos NP, Shapiro E, Tate R. Does a small minority of elderly account for a majority of health care expenditure? A sisteen years perspective Milbank Q 1990; 67. 347-369
4. Milne R, Clarke A Can readmission rates be used as an outcome indicator? BMJ 1990; 301: 1 139-1 140
5. Townsend J, Piper M, Frank AO, Dyer S, North WRS. Meade TW Reduction in hospital readmission stay of elderly patients by a community based hospital discharge scheme A randomised controlled trial. BMJ 1988, 297: 544-547.
6. Servera E, Simó L. Marín J, Vergara P. Hospitalizaciones durante un año en un grupo de insuficientes respiratorios crónicos graves con cuidados a domicilio [carta] Med Clin (Barc) 1994; 437.
7. Institute Nacional de Estadística. Encuesta de Morbilidad Hospitalaria 1987. Madrid. INE, 1990
8. Institute Nacional de Estadística Encuesta de Morbilidad Hospitalaria 1989 Madrid: INE, 1991.
9. Sicras Mainar A, Navarro Artieda R. Valoración del reingreso hospitalario en el servicio de medicina interna Med Clin (Barc) 1993; 101: 732-735
10. Matòrras Galan P, Alonso López R, Daroca Pérez R, Diaz-Caneja Rodríguez N, Ledesma Castaño P, Gancedo González Z El paciente multiingresado en Medicina Interna como tipo especial de readmisión hospitalaria Ann Med Intern (Madrid) 1990, 7 353-357.
11. Cabiscol Pujol P, Molist Carrera R, Val Cabrero L. Los problemas del alta hospitalaria Sant Pau 1988, 9: 93-98.
12. Aguilar Naranjo JJ, Santos Andrés FJ, Usabiaga Bernal MT, Cerda Plubins M, Abril Boren C, Puig Cuyas JM Análisis de la hospitalización en un servicio de rehabilitación de un hospital general. Rehabilitación 1989; 23 209-215.
13. Taboada Costa F, Guerra Naranjo J, Aymerich Martín S, Abizanda Campos R, López Morán A, Moreno Ortigosa A Reingreso en cuidados intensivos Identificación de pacientes de alto rìesgo Med Intensiva 1986, 10: 252-254.
14. Haya FJ, Mattos I, Jiménez J, Bris JM, Buguella I, Rodríguez Ingelmo JM et al Influencia del alta precoz poscesárea en la aparición de complicaciones Clínica Invest Ginecol Obstet 1991, 18 9-15
15. García-Arilla Calvo E, Hernández Bello A, Mesa Lampre P, Midón Carmona J, Cucullo López JM, Comet Lozano V. Intervalo libre entre el alta hospitalaria y el reingreso Rev Esp Geriatr Gerontol 1987; 22 77-79
16. Izquierdo Zamarriego G, Oses Ortega R, Buendía Azaath C. Características de los pacientes geriátricos con reingresos multiples Rev Esp Geriatr Gerontol 1991, 26 155-160.
17. Martínez Azumendi O, Ylla L, Ballesteros J. Continuidad de cuidados tras el alta hospitalaria Evolución de su existencia en un área determinada Psicopatología 1991; 11: 32-35
18. Roigé J, Miquel C El reingreso en un servicio de medicina interna [carta]. Med Clin (Barc) 1994; 102. 317.
19. Dirección para la gestión de la asistencia especializada. Conjunto Mínimo Básico de datos (CMBD) [mimeo] Valencia: Servicio Valenciano de Salud, 1992
20. Agency for Health Care Policy and Research. Clinical Classifications for Health Policy Research: discharge statistics by principal diagnosis and procedure. Rockville: U.S. Department of Health and Human Services, 1993.
21. Charlson ME, Pompei P, Ales KL, MacKenzie R. A new method of classifyging prognostic, comorbidity in longitudinal studies development and validation. J Chron Dis 1987; 40. 373-383
22. Deyo RA, Cherkin DC, Ciol MA Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 1992; 45 613-619.
23. Romano PS, Roos LL, Jollis JG. Adapting a clinical comorbidity index for use with ICD-9-CM administrative data differing perspectives J Clin Epidemiol 1993; 46: 1 075-1.079
24. D'Hoore W, Sicotte C, Tilquin C. Risk adjustment in outcome assessment: the Charlson Comorbidity Index Meth Infor Med 1993, 32. 382-387
25. Dirección para la gestión de la asistencia especializada. La medición de la calidad del conjunto mínimo básico de datos de la Comunidad Valenciana (CMBD-CV) [mimeo]. Valencia: Servicio Valenciano de Salud, 1994.
26. Feinstein AR, Wells CK, Walter S. A comparison of multivariable mathematical methods for predicting survival-1. Introduction, rationale, and general strategy. J Clin Epidemiol 1990, 43: 339-347
27. Lee ET. Statistical Methods for survival data analysis Nueva York. John Wiley & Sons, 1992.
28. Christensen E. Multivariate Survival Analysis Using Cox' Regression Model. Hepatology 1987, 7: 1.346-1.358.
29. Norussis MJ SPSS for windows Advanced Statistics Release 5 Chicago: SPSS Inc., 1992.
30. Crane J, Pearce N, Burgess C, Woodman K, Robson B, Beasley R. Markers of risk of asthma death or readmission in the 12 months following a hospital admission for asthma. Int J Epidemiol 1992; 21. 737-744.
31. Flexner CW, Weiner JP, Saudek CD, Dans PE Repetead hospitalization for diabetic ketoacidosis-the game of «Sartoris» Am J Med 1984, 76, 691-695
32. Sullivan DH Risk factors for early hospital readmission in a select population of geriatric rehabilitation patients. The significance of Nutritional Status. J Am Geriatr Soc 1992; 40. 792-798.
33. Riley G, Lubitz J. Outcomes of surgery in the Medicare aged population: rehospitalization after surgery. Health Care Financing Rev 1986; 8: 23-34
34. Bigby J, Dunn J, Goldman L, Adamns JB, Jen P. Landefeld CS et al Assessing the preventability of emergency hospital admissions Am J Med 1987, 83 1 031-1.036
35. Smith DM, Weinberger M, Katz BP, Moore PS. Postdischarge care and readmissions Med Care 1988; 26 699-708.
36. Weinberger M, Smith DM, Katz BP, Moore PS The cost-effectiveness of intensive postdischarge care, a randomized trial. Med Care 1988, 26. 1.092-1.102.
37. Safran C, Phillips RS. Interventions to prevent readmisson. The constraints of cost and efficacy Med Care 1989; 27: 204-211.
38. Thomas JW, Holloway JJ Investigating early readmissions as an indicator for quality of care studies Med Care 1991; 29 377-394
39. Welch HG, Larson EH, Hart LG, Rosenblatt RA. Readmission after surgery in Washington State Rural Hospitals Am J Public Health 1992, 82: 407-411.
40. Siu AL, McGlynn EA, Morgenstern H, Beers MH, Carlisle DM, Keeler EB et al. Choosing quality of care measures based on the expected impact of improved care on health. Health Serv Res 1992; 27. 619-650.
41. Ludke RL, Booth BM, Lewis-Beck JA. Relationship between early readmission and hospital quality of care indicators. Inquiry 1993; 30 95-103
42. Brook RH, Lohr KN. Monitoring quality of care in the Medicare program JAMA 1987; 258. 3 138-3 141
43. Henderson J, Goldacre MJ, Graveney MJ, Simmons HM. Use of medical record linkage to study readmissions rates. BMJ 1989; 299: 709-712
44. Chambers M, Clarke A Measuring readmission rates BMJ 1990; 301: 1 134-1.136
45. DesHarnais SI, McMahon LF, Wrowlebsky RT, Hogan AJ. Measuring hospital performance The development and validation of risk-adjusted indexes of mortality, readmissions and complications. Med Care 1990; 28: 1.127-1.141
46. Epstein AM, Bogen J, Dreyer P, Thorpe KE Trends in length of stay and rates of readmission in Massachusetts: Implications for monitoring quality of care. Inquiry 1991, 28: 19-28.
47. O'Brien J, Bowie C. A methodology for collecting outcome measures for common hospital conditions. J Public Health Med 1992, 14: 380-384
48. Roos NP, Roos LL, Mossey J, Havens B Using administrative data to predict important health outcomes Med Care 1988; 26. 221-239
49. Lezzoni LI, Foley SM, Heeren T, Daley J, Duncan C, Fisher ES et al A method for screening the quality of hospital care using administrative data preliminary validation results. QRB 1992, 18: 361-371
50. Glynn RJ, Stukel TA, Sharp SM, Bubolz TA, Freeman JL, Fisher ES. Estimating the variance of standardized rates of recurrent events, with application to hospitalizations among the elderly in New England Am J Epidemiol 1993; 137: 776-786
51. Daley J, Jencks S, Draper D, Lenhart G, Thomas N, Walker J. Predicting hospital-associated mortality for Medicare patients A method for patients with stroke, pneumonia, acute miocardial infarction, and congestive heart failure. JAMA 1988, 260: 3 617-3.626.
52. Kahn KL, Brook RH, Draper D, Keeler EB, Rubenstein LV, Rogers WH et al. interpreting hospital mortality data How can we proceed? JAMA 1988, 260: 3.625-3.628
53. Lezzoni LI, Ash AS, Coffman G, Moskowitz MA. Admission and mid-stay Medisgroups scores as predictors of death within 30 days of hospital admission Am J Public Health 1991, 81: 74-78
54. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes HA et al. The nature of adverse events in hospitalized patients Results of the Harvard Medical Practice Study II N Engl J Med 1991; 324. 377-384
55. Roos LL, Cageorge SM, Auesten E, Lohr KN. Using computers to identify complications after surgery Am J Public Health 1985; 75: 1.288-1 295.
56. Roos LL, Cageorge SM, Roos NP, Danzinger R. Centralization, certification and monitoring, readmissions and complications after surgery Med Care 1986, 24: 1.044-1 066
57. Blumberg MS Measuring surgical quality in Maryland: a model. Health Affairs 1988, 7: 62-78
58. Richards T, Lurie N, Rogers W, Brook R. Meredith L, Mansivais G et al The Adverse Patient Occurrence Inventory. Med Care 1988; 26 (Supl) 45-53.
59. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG et al. Incidence of adverse events and negligence in hospitalized patients Results of the Harvard Medical Practice Study I. N Engl Med J 1991; 324 370-376
60. Brennan TA, Hebert LE, Laird NM, Lawthers A, Thorpe KE, Leape LL et al Hospital Characteristics associated with adverse events and substandard care JAMA 1991, 265. 3 265-3 269
61. Goldman RL, Walder DJ. An initial assessment of the Veterans Affairs Occurrence Screening Program Quality Rev Bull 1992, 18 327-332.
62. Greenfield S, Aronow HU, Elashoff RM, Watanabe D Flaws in mortality data. The hazards of ignoring comorbid disease JAMA 1988, 260: 2 253-2.255.
63. Greenfield S, Apolone G, McNeil BJ, Cleary PD The importance of co-existent disease in the occurrence of postoperative complications and one-year recovery in patients undergoing total hip replacement Comorbidity and outcomes after hip replacement Med Care 1993, 31: 141-154
64. Sanazaro PJ, Mills DH. A critique of the use of generic screening in quality assessment JAMA 1991; 265. 1 977-1.981.
65. Kassirer JP The quality of care and the quality of measuring it N Engl J Med 1993, 329 1 263-1 265
66. Anderson GF, Steinberg EP. Predicting hospital readmissions in the Medicare population Inquiry 1985; 22 251-258
67. Anderson G, Steinberg EP, Whittle J, Powe NR, Antebi S, Herbert R. Development of clinical and economic prognoses from Medicare claims data. JAMA 1990, 263. 967-972.
68. Ashton CM, Wray NP, Dunn JW, Scheurich RD, Debehnke RD, Friedland JA. Predicting readmission in veterans with chronic disease development and validation of discharge criteria. Med Care 1987, 25. 1.184-1.189
69. Williams EI, Fitton F Factors affecting early unplanned readmission of elderly patients to hospital. BMJ 1988; 297. 784-788.
70. Wray NP, DeBehnke RD, Ashton CM, Kay Dunn J Characteristics of the recurrently hospitalized adult. Med Care 1988, 26. 1.046-1056
71. Holloway JJ, Thomas JV, Shapiro L Clinical and sociodemographic risk factors for readmissions of medicare beneficiaries. Health Care Financing Rev 1988; 10: 27-36.
72. Roos NP Predicting hospital utilization by the elderly. The importance of patient, physician and hospital characteristics. Med Care 1989; 27: 905-919
73. Welch HG, Larson EH. Patients requiring at least five admissions in 1 year. Med Care 1991, 29 578-582.
74. Corrigan JM, Martin JB Identification of factors associated with hospital readmission and development of a predictive model. Health Serv Res 1992; 27: 81-101
75. Boult C, Dowd B, McCaffrey D, Boult L, Hernández R, Krulewitch H Screening elders for risk of hospital admission. J Am Geriatr Soc 1993, 811-817.
76. Lohr KN. Outcome measurement: concepts and questions. Inquiry 1988, 25 37-50.
77. Graham H, Livesley B. Can readmission to a geriatric unit be prevented? Lancet 1983. 1 404-406.
78. Clarke A. Are readmissions avoidable? BMJ 1990, 301. 1.136-1 138
79. Frankl SE, Breeling JL, Goldman L. Preventability of emergent hospital readmission. Am J Med 1991; 90 667-674.
80. Blumberg MS. Risk adjusting health care outcomes, a methodologic review. Med Care Rev 1986; 43: 351-393
81. Jencks SF, Daley J, Draper D, Thomas N, Lenhart G, Walker J Interpreting hospital mortality data. The role of clinical risk adjusting. JAMA 1988; 260: 3611-3.616
82. Green J, Wintfeld N, Sharkey P, Passman LJ The importance of severity of illness in assessing hospital mortality. JAMA 1990; 263: 241-246.
83. Green J, Passman LJ, Wintfeld N Analyzing hospital mortality The consequences of diversity in patient mix. JAMA 1991; 265: 1.849-1.853.
84. Demlo LK, Campbell PM. Improving hospital discharge data, lessons from the National Hospital Discharge Survey. Med Care 1981; 19: 1.030-1 040
85. Roos LL, Roos NP, Cageorge SM, Nicol JP, Comm B. How good are the data? reliability of one health care data bank. Med Care 1992; 20: 266-276
86. Green J, Wintfeld N How accurate are hospital discharge data for evaluating effectiveness of care? Med Care 1993, 31 719-731
87. Lezzoni LI, Daley J, Heeren T, Foley SM, Hughes JS, Fisher ES et al. Using administrative data to screen hospitals for high complication rates Inquiry 1994; 31: 40-55
88. Wells CK, Feinstein AR, Walter S A comparison of multivariable mathematical methods for predicting survival-3. Accuracy of predictions in generating and challenge sets J Clin Epidemiol 1990, 43 361-372.
89. Walter S, Feinstein AR, Wells CK A comparison of multivariable mathematical methods for predicting survival-2 Statistical selection of prognostic variables J Clin Epidemiol 1990; 43: 349-359.
90. Smith DM, Norton JA, McDonald CJ Nonelective readmissions of medical patients J Chronic Dis 1985; 38. 213-224
91. Fethke CC, Smith IM, Johnson N Risk factors affecting readmission on the elderly into the health care system Med Care 1986, 24. 429-437
92. Gooding J, Jette AM. Hospital readmissions among the elderly. J Am Geriatr Soc 1985. 33: 595-599
93. Zook CJ, Moore FD High cost users of medical care. N Engl J Med 1980, 302 996-1.001.
94. Victor CR, Vetter NJ The early readmissions of the elderly to hospital. Age and Ageing 1985; 14: 37-42
95. Evans RL, Hendricks RD, Lawrence KV, Bishop DS. Identifying factors associated with health care use: a hospital-based risk screening index. Soc Sci Med 1988; 27. 947-954.
96. Hayward RA, Bernard AM, Rosevear JS, Anderson JE, McMahon LF. An evaluation of generic screens for poor quality of hospital care on a general medicine service Med Care 1993, 31 394-402.
97. Holloway JJ, Vanderbrug Medendorp S, Bromberg J. Risk factors for early readmissions among veterans. HSR 1990; 25: 213-237
98. Waite K, Oddone E, Weinberger M, Samsa G, Foy M, Henderson W. Lack of association between patients' measured burden of disease and risk for hospital readmission J Clin Epidemiol 1994; 47 1 229-1.236
99. Weissman JS, Stern RS, Epstein AM The impact of patient socioeconomic status and other social factors on reamission: a prospective study in four Massachusetts hospitals Inquiry 1994, 31: 163-172,
100. Sehroeder SA, Kabcenell AI. Do bad outcomes mean substandard care? JAMA 1991, 265: 1995