Emergency medical readmission: long-term trends and impact on mortality.

Hdl Handle:
http://hdl.handle.net/10147/134569
Title:
Emergency medical readmission: long-term trends and impact on mortality.
Authors:
Glynn, Nigel; Bennett, Kathleen; Silke, Bernard
Affiliation:
Division of Internal Medicine, St James's Hospital, Dublin, Ireland.
Citation:
Emergency medical readmission: long-term trends and impact on mortality. 2011, 11 (2):114-8 Clin Med
Journal:
Clinical medicine (London, England)
Issue Date:
Apr-2011
URI:
http://hdl.handle.net/10147/134569
PubMed ID:
21526689
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/21526689
Abstract:
There is increasing emphasis on prevention of emergency medical readmissions. The broad pattern of acute medical readmissions was studied over a seven-year period and the impact of any readmission on 30-day mortality was recorded. Significant predictors of outcome, including co-morbidity and illness severity score, were entered into a multivariate regression model, adjusting the univariate estimates of the readmission status on mortality. In total, 23,114 consecutive acute medical patients were admitted between 2002-8; the overall readmission rate was 27%. Readmission independently predicted an increased 30-day mortality; the odds ratio, was 1.12 (95% confidence interval (CI) 1.09 to 1.14). This fell to 1.05 (95% CI 1.02 to 1.08) when adjusted for outcome predictors including acute illness severity. The trend for readmissions was to progressively increase over time; the median times between consecutive admissions formed an exponential time series. Efforts to reduce or avoid readmissions may depend on an ability to modify the underlying chronic disease.
Item Type:
Article
Language:
en
MeSH:
Adult; Chi-Square Distribution; Comorbidity; Female; Hospital Mortality; Humans; Ireland; Length of Stay; Male; Middle Aged; Patient Readmission; Predictive Value of Tests; Regression Analysis; Severity of Illness Index
ISSN:
1470-2118

Full metadata record

DC FieldValue Language
dc.contributor.authorGlynn, Nigelen
dc.contributor.authorBennett, Kathleenen
dc.contributor.authorSilke, Bernarden
dc.date.accessioned2011-06-27T11:44:06Z-
dc.date.available2011-06-27T11:44:06Z-
dc.date.issued2011-04-
dc.identifier.citationEmergency medical readmission: long-term trends and impact on mortality. 2011, 11 (2):114-8 Clin Meden
dc.identifier.issn1470-2118-
dc.identifier.pmid21526689-
dc.identifier.urihttp://hdl.handle.net/10147/134569-
dc.description.abstractThere is increasing emphasis on prevention of emergency medical readmissions. The broad pattern of acute medical readmissions was studied over a seven-year period and the impact of any readmission on 30-day mortality was recorded. Significant predictors of outcome, including co-morbidity and illness severity score, were entered into a multivariate regression model, adjusting the univariate estimates of the readmission status on mortality. In total, 23,114 consecutive acute medical patients were admitted between 2002-8; the overall readmission rate was 27%. Readmission independently predicted an increased 30-day mortality; the odds ratio, was 1.12 (95% confidence interval (CI) 1.09 to 1.14). This fell to 1.05 (95% CI 1.02 to 1.08) when adjusted for outcome predictors including acute illness severity. The trend for readmissions was to progressively increase over time; the median times between consecutive admissions formed an exponential time series. Efforts to reduce or avoid readmissions may depend on an ability to modify the underlying chronic disease.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21526689en
dc.subject.meshAdult-
dc.subject.meshChi-Square Distribution-
dc.subject.meshComorbidity-
dc.subject.meshFemale-
dc.subject.meshHospital Mortality-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshLength of Stay-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPatient Readmission-
dc.subject.meshPredictive Value of Tests-
dc.subject.meshRegression Analysis-
dc.subject.meshSeverity of Illness Index-
dc.titleEmergency medical readmission: long-term trends and impact on mortality.en
dc.typeArticleen
dc.contributor.departmentDivision of Internal Medicine, St James's Hospital, Dublin, Ireland.en
dc.identifier.journalClinical medicine (London, England)en
dc.description.provinceLeinster-

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