Wilson Anthony, Martins-Welch Diana, Williams Myia, Tortez Leanne, Kozikowski Andrzej, Earle Bridget, Attivissimo Lori, Rosen Lisa, Pekmezaris Renee
Northwell Health, Manhasset, NY 11030, USA.
Hospice Care Network, Woodbury, NY 11797, USA.
Geriatrics (Basel). 2018 Jan 24;3(1):4. doi: 10.3390/geriatrics3010004.
Factors surrounding readmission rates for hospice patients within seven days are still relatively unknown. The present study specifically investigates the seven-day readmission rate of patients newly discharged to hospice, and the predictive factors associated with readmission for this population. In a retrospective case-control study, we seek to identify potential predictors by comparing the characteristics of patients discharged to hospice and readmitted within one week to patients who were not readmitted. Cases (n = 46) were patients discharged to home hospice and readmitted to the hospital within seven days. Controls (n = 117) were patients discharged to home hospice and not readmitted to the hospital within seven days. Significant risk factors for readmission within seven days were found to be: age ( < 0.01), race ( < 0.001), language ( < 0.001), and insurance ( < 0.001). Further study of these predictors may identify opportunities for interventions that address patient and family concerns that may lead to readmission.
临终关怀患者7天内再入院率的相关因素仍相对不明。本研究专门调查了新出院至临终关怀机构的患者的7天再入院率，以及该人群再入院的预测因素。在一项回顾性病例对照研究中，我们试图通过比较出院至临终关怀机构并在一周内再次入院的患者与未再次入院的患者的特征，来确定潜在的预测因素。病例组（n = 46）为出院至家庭临终关怀机构并在7天内再次入院的患者。对照组（n = 117）为出院至家庭临终关怀机构且7天内未再次入院的患者。发现7天内再入院的显著风险因素为：年龄（<0.01）、种族（<0.001）、语言（<）0.001）和保险（<0.001）。对这些预测因素的进一步研究可能会发现干预机会，以解决可能导致再入院的患者和家属的担忧。
