Identification of factors associated with hospital readmission and development of a predictive model.
Year: 1992
Type: article
Study design: Observational Study
Abstract: Multiple hospital admissions, especially those related to the chronically ill, represent a particular challenge to both the acute and long-term care sectors to identify effective methods of resource management. This study analyzes the multiple admission patterns associated with a cohort of 4,219 adult medical-surgical patients discharged alive from a community teaching hospital in Michigan. The sample was divided into two groups: 3,818 patients who survived and 392 who expired during the one-year follow-up period. For the surviving subsample, the characteristics found to be directly associated with the likelihood of readmission included increased age, advanced stage of disease, greater index-episode length of stay, discharge by an internist rather than a surgeon, Medicare as expected source of payment, decreased physician age, discharge to a community setting, and increased number of prior hospital episodes. For the subsample who died, only one explanatory variable was significantly associated with an increased likelihood of readmission-discharge to a community setting (with or without home care) rather than a nursing home. The article includes illustrates of the importance of decisions regarding posthospital, long-term care services on the likelihood of rehospitalization.
Source: Europe PMC (PubMed Central)
Authors: J M Corrigan, J B Martin
Institution: National Committee for Quality Assurance
Language: English
Subfield: Leadership and Management
Field: Nursing
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W23358702