A simple index predicting 30‐day readmissions in acutely hospitalized patients

Froom, Paul; Shimoni, Zvi; Benbassat, Jochanan

doi:10.1111/jep.13516

Cited by 3 publications

(17 citation statements)

References 19 publications

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“…All the papers retrieved by the search responding to inclusion/exclusion criteria were included; biases were evaluated for each article and noted in a dedicated database. In 17 studies [10,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36], the corresponding author was contacted for further information. Only 10 authors [10,21,22,25,[27][28][29][30][31]33] sent the requested information.…”

Section: Study Selectionmentioning

confidence: 99%

“…In 17 studies [10,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36], the corresponding author was contacted for further information. Only 10 authors [10,21,22,25,[27][28][29][30][31]33] sent the requested information. None of the studies for which we did not receive the requested additional information were excluded; however, the quality assessment for these studies was incomplete [23,32,34,35].…”

Section: Study Selectionmentioning

confidence: 99%

“…Twenty-nine studies published between 2012 and 2022 were included in the review [3,[10][11][12][21][22][23][27][28][29][30][31][32][33][34][35][36][38][39][40][41][42][43][44][45][46][47][48][49]. The participants included in the different studies ranged between 111 [41] and 1,463,781 [27], with a total number of patients included in the review of 3,859,134.…”

Section: Study Design and Characteristicsmentioning

confidence: 99%

“…The participants included in the different studies ranged between 111 [41] and 1,463,781 [27], with a total number of patients included in the review of 3,859,134. The majority of the included studies were retrospective cohort studies [3,12,21,27,31,33,34,36,[42][43][44][46][47][48][49], nine were prospective cohort studies [10,22,23,29,30,35,38,40,41], four were case-control studies [11,28,32,45] and one was a quasiexperimental study [39]. Eighteen studies were monocentric [12,[21][22][23][28][29][30][31][33][34][35][36][39][40][41]43,45,…”

Section: Study Design and Characteristicsmentioning

confidence: 99%

“…The majority of the included studies were retrospective cohort studies [3,12,21,27,31,33,34,36,[42][43][44][46][47][48][49], nine were prospective cohort studies [10,22,23,29,30,35,38,40,41], four were case-control studies [11,28,32,45] and one was a quasiexperimental study [39]. Eighteen studies were monocentric [12,[21][22][23][28][29][30][31][33][34][35][36][39][40][41]43,45,48] and 11 were multicentric [3,10,11,…”

Section: Study Design and Characteristicsmentioning

confidence: 99%

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Risk Factors for Early Hospital Readmission in Geriatric Patients: A Systematic Review

Cilla

Sabione

2023

IJERPH

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The number of older patients is constantly growing, and early hospital readmissions in this population represent a major problem from a health, social and economic point of view. Furthermore, the early readmission rate is often used as an indicator of the quality of care. We performed a systematic review of the literature to better understand the risk factors of early readmission (30 and 90 days) in the geriatric population and to update the existing evidence on this subject. The search was carried out on the MEDLINE, EMBASE and PsycINFO databases. Three independent reviewers assessed the potential inclusion of the studies, and then each study was independently assessed by two reviewers using Joanna Briggs Institute critical appraisal tools; any discrepancies were resolved by the third reviewer. Studies that included inpatients in surgical wards were excluded. Twenty-nine studies were included in the review. Risk factors of early readmission can be classified into socio-economic factors, factors relating to the patient’s health characteristics, factors related to the use of the healthcare system and clinical factors. Among these risk factors, those linked to patient frailty play an important role, in particular malnutrition, reduced mobility, risk of falls, fatigue and functional dependence. The early identification of patients at higher risk of early readmission may allow for targeted interventions in view of discharge.

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Section: Study Selectionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Study Design and Characteristicsmentioning

confidence: 99%

Section: Study Design and Characteristicsmentioning

confidence: 99%

Section: Study Design and Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Risk Factors for Early Hospital Readmission in Geriatric Patients: A Systematic Review

Cilla

Sabione

2023

IJERPH

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Regional scope of practice and hospital readmission

Plemmons

Choudhury

2021

Applied Economics Letters

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Older hospitalised patients with a chief complaint of weakness and nonspecific presentations are not at risk of adverse health outcomes

Shimoni,

Firas,

Hermush

et al. 2024

Evaluation Clinical Practice

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Rationale and ObjectiveOlder adults in the Emergency Department (ED) often present with nonspecific complaints (NSC) that might be associated with adverse health outcomes due to underestimating the seriousness of the illness by health care workers.MethodsWe selected a random sample of patients aged 65 or older who complained of weakness and were hospitalised in internal medicine departments in 2019‐2021. We divided the patients into those with and without specific reasons for hospitalisation after the ED evaluation. Outcome variables included changes in medical care based on CT head scans and blood tests, and whether a delay in diagnosis led to a longer stay, in‐hospital mortality, or readmission within 30 days.ResultsPatients were aged 82 ± 8 years and 43.6% (233/536)were female. 46.8% (260/556) of the patients had a specific reason for hospitalisation after the ED evaluation including four patients presenting with confusion, without neurological findings but with acute ischaemia found on the brain CT. Patients without a specific presentation had fewer blood tests done due to a significantly shorter hospital stay (median (1st–3rd quartiles: 3 (2–4) vs. 4 (3–6) days, p < 0.001), a lower mortality rate, 0.3% (n = 1) compared to 4.2% (n = 11), p = 0.002), and fewer readmissions 13.5%(n = 40) compared to 20.4% (n = 53). The deaths and readmissions in both groups were not due to a delay in diagnosis.ConclusionsElderly patients with a chief complaint of weakness with and without a specific reason for hospitalisation were not at an increased risk for inappropriate treatment or a missed diagnosis.

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A simple index predicting 30‐day readmissions in acutely hospitalized patients

Cited by 3 publications

References 19 publications

Risk Factors for Early Hospital Readmission in Geriatric Patients: A Systematic Review

Risk Factors for Early Hospital Readmission in Geriatric Patients: A Systematic Review

Regional scope of practice and hospital readmission

Older hospitalised patients with a chief complaint of weakness and nonspecific presentations are not at risk of adverse health outcomes

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