Causes and patterns of readmissions in patients with common comorbidities: Retrospective cohort study

BMJ (Online)

Volumn 347, Issue , 2013, Pages

  Donzé, Jacques ^a,b,c   Lipsitz Prof , Stuart ^a,b   David, W ^a,b,d   Schnipper Prof , Jeffrey L ^a,b  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c UNIVERSITY OF BERN   (Switzerland)

^d HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CHRONIC KIDNEY DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COHORT ANALYSIS; COMORBIDITY; CONGESTIVE HEART FAILURE; DIABETES MELLITUS; FEMALE; GASTROINTESTINAL DISEASE; HEART ATRIUM FIBRILLATION; HEART ATRIUM FLUTTER; HIGH RISK PATIENT; HOSPITAL READMISSION; HUMAN; ISCHEMIC HEART DISEASE; KIDNEY FAILURE; LIVER DISEASE; MAJOR CLINICAL STUDY; MALE; NEOPLASM; PNEUMONIA; PRIORITY JOURNAL; RESPIRATORY TRACT INFECTION; RETROSPECTIVE STUDY; RISK FACTOR; SEPTICEMIA; URINARY TRACT INFECTION;

ACADEMIC MEDICAL CENTERS; ADULT; AGE DISTRIBUTION; AGED; BOSTON; COHORT STUDIES; COMORBIDITY; FEMALE; HUMANS; INCIDENCE; MALE; MIDDLE AGED; PATIENT DISCHARGE; PATIENT READMISSION; RETROSPECTIVE STUDIES; RISK FACTORS; SEX DISTRIBUTION; TIME FACTORS;

EID: 84890957326     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.f7171     Document Type: Article

References (25)

1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med 2009;360:1418-28
2. Dharmarajan K, Hsieh AF, Lin Z, Bueno H, Ross JS, Horwitz LI, et al. Diagnoses and timing of 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia. JAMA 2013;309:355-63
3. Zekry D, Loures Valle BH, Graf C, Michel JP, Gold G, Krause KH, et al. Prospective comparison of 6 comorbidity indices as predictors of 1-year post-Hospital discharge institutionalization, readmission, and mortality in elderly individuals. J Am Med Dir Assoc 2012;13:272-8
4. Van WC, Dhalla IA, Bell C, Etchells E, Stiell IG, Zarnke K, et al. Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community. CMAJ 2010;182:551-7
5. Librero J, Peiro S, Ordinana R. Chronic comorbidity and outcomes of hospital care: length of stay, mortality, and readmission at 30 and 365 days. J Clin Epidemiol 1999;52:171-9
6. Jasti H, Mortensen EM, Obrosky DS, Kapoor WN, Fine MJ. Causes and risk factors for rehospitalization of patients hospitalized with community-acquired pneumonia. Clin Infect Dis 2008;46:550-6
7. Schnipper JL, Roumie CL, Cawthon C, Businger A, Dalal AK, Mugalla I, et al. Rationale and design of the Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD) study. Circ Cardiovasc Qual Outcomes 2010;3:212-9
8. Kripalani S, Roumie CL, Dalal AK, Cawthon C, Businger A, Eden SK, et al. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: A randomized trial. Ann Intern Med 2012;157:1-10
9. Halfon P, Eggli Y, van MG, Chevalier J, Wasserfallen JB, Burnand B. Measuring potentially avoidable hospital readmissions. J Clin Epidemiol 2002;55:573-87
10. SQlape. Potentially avoidable readmissions. 2013. www.sqlape.com/ Readmissions-e. htm
11. Halfon P, Eggli Y, Pretre-Rohrbach I, Meylan D, Marazzi A, Burnand B. Validation of the potentially avoidable hospital readmission rate as a routine indicator of the quality of hospital care. Med Care 2006;44:972-81
12. Donze J, Aujesky D, Williams D, Schnipper JL. Potentially avoidable 30-day hospital readmissions in medical patients: Derivation and validation of a prediction model. JAMA Intern Med 2013;173:632-8
13. Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics 1986;42:121-30
14. Wells JM, Washko GR, Han MK, Abbas N, Nath H, Mamary AJ, et al. Pulmonary arterial enlargement and acute exacerbations of COPD. N Engl J Med 2012;367:913-21
15. Zvezdin B, Milutinov S, Kojicic M, Hadnadjev M, Hromis S, Markovic M, et al. A postmortem analysis of major causes of early death in patients hospitalized with COPD exacerbation. Chest 2009;136:376-80.
16. Naeije R. Pulmonary hypertension and right heart failure in chronic obstructive pulmonary disease. Proc Am Thorac Soc 2005;2:20-22
17. Sethi S, Murphy TF. Infection in the pathogenesis and course of chronic obstructive pulmonary disease. N Engl J Med 2008;359:2355-65
18. Shetty R, Seddighzadeh A, Piazza G, Goldhaber SZ. Chronic obstructive pulmonary disease and deep vein thrombosis: a prevalent combination. J Thromb Thrombolysis 2008;26:35-40
19. Gunen H, Gulbas G, In E, Yetkin O, Hacievliyagil SS. Venous thromboemboli and exacerbations of COPD. Eur Respir J 2010;35:1243-8
20. Maldonado F, Bartholmai BJ, Swensen SJ, Midthun DE, Decker PA, Jett JR. Are airflow obstruction and radiographic evidence of emphysema risk factors for lung cancer? A nested case-control study using quantitative emphysema analysis. Chest 2010;138:1295-302
21. Krumholz HM. Post-hospital syndrome-an acquired, transient condition of generalized risk. N Engl J Med 2013;368:100-2
22. Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med 2003;138:161-7
23. Van Walraven C, Bennett C, Jennings A, Austin PC, Forster AJ. Proportion of hospital readmissions deemed avoidable: a systematic review. CMAJ 2011;183:E391-402
24. Chu LW, Pei CK. Risk factors for early emergency hospital readmission in elderly medical patients. Gerontology 1999;45:220-6
25. Auerbach A, Lindenauer PK, Metlay J, Robinson E, Patel M, Williams M, et al. The Hospital Medicine Reengineering Network (HOMERuN): a learning network focused on hospital care. Acad Med [forthcoming]