Bohannon Richard W, Maljanian Rose D
Institute of Outcomes Research and Evaluation, Hartford Hospital, 80 Seymour St, PO Box 5037, Hartford, CT 06102-5037, USA.
Conn Med. 2003 Nov-Dec;67(10):599-603.
Readmission is an important outcome that is common among elderly patients surviving hospitalization. In this study we describe readmissions and examine potential predictors of readmission among elderly individuals with an index admission for pneumonia.
Retrospective database analysis.
Tertiary care hospital.
Eight hundred and ninety-two patients (> or = 65 years) were discharged with a diagnosis of pneumonia.
Readmissions and potentially relevant data were retrieved from the hospital's administrative database.
Readmissions were experienced by 410 (46.0%) patients. There were 739 readmissions (.83/patient). Male gender, a longer index length of stay, and cancer comorbidity provided a weak but significant prediction of readmission.
Readmissions were common following index admission for pneumonia. Data readily available in a hospital administrative database were not particularly predictive of readmission. Other, preferably modifiable variables will have to be identified if this important outcome is to be addressed.
再入院是住院存活老年患者中常见的一项重要结局。在本研究中，我们描述了再入院情况，并探讨了因肺炎首次入院的老年患者再入院的潜在预测因素。
回顾性数据库分析。
三级护理医院。
892例（≥65岁）诊断为肺炎的患者出院。
从医院行政数据库中检索再入院情况及可能相关的数据。
410例（46.0%）患者出现再入院。共发生739次再入院（每位患者0.83次）。男性、首次住院时间较长以及合并癌症对再入院有较弱但显著的预测作用。
肺炎首次入院后再入院情况常见。医院行政数据库中容易获取的数据对再入院的预测性不强。如果要解决这一重要结局问题，还需确定其他（最好是可改变的）变量。
