Sleep Disordered Breathing in Hospitalized African-Americans

Rives-Sanchez, Marisela; Quintos, Abigail; Prillaman, Barbara A.; Willes, Leslee; Swaminathan, Neeraja; Niroula, Abesh; AlQsous, N.; Sharma, Sunil

doi:10.1016/j.jnma.2020.03.011

Cited by 2 publications

(1 citation statement)

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“…Whereas in many other countries the knowledge on readmissions for different conditions and populations is continuously increasing (e.g. [15][16][17][18][19][20][21]), comparatively little efforts were dedicated to research on readmissions in Germany, the largest European healthcare system, and information on the usability of claims data is particularly limited. Nonetheless, there are conditions of high economical and clinical importance for Germany, generating a high proportion of hospital admissions: The diagnosis of heart failure, for example, was the most frequent discharge diagnosis in German hospitals in 2016, 2017, and 2018 [22].…”

Section: Introductionmentioning

confidence: 99%

Disease-dependent variations in the timing and causes of readmissions in Germany: A claims data analysis for six different conditions

et al. 2021

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Background Hospital readmissions place a major burden on patients and health care systems worldwide, but little is known about patterns and timing of readmissions in Germany. Methods We used German health insurance claims (AOK, 2011–2016) of patients ≥ 65 years hospitalized for acute myocardial infarction (AMI), heart failure (HF), a composite of stroke, transient ischemic attack, or atrial fibrillation (S/AF), chronic obstructive pulmonary disease (COPD), type 2 diabetes mellitus, or osteoporosis to identify hospital readmissions within 30 or 90 days. Readmissions were classified into all-cause, specific, and non-specific and their characteristics were analyzed. Results Within 30 and 90 days, about 14–22% and 27–41% index admissions were readmitted for any reason, respectively. HF and S/AF contributed most index cases, and HF and COPD accounted for most all-cause readmissions. Distributions and ratios of specific to non-specific readmissions were disease-specific with highest specific readmissions rates among COPD and AMI. Conclusion German claims are well-suited to investigate readmission causes if longer periods than 30 days are evaluated. Conditions closely related with the primary disease are the most frequent readmission causes, but multiple comorbidities among readmitted cases suggest that a multidisciplinary care approach should be implemented vigorously addressing comorbidities already during the index hospitalization.

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