University of South Florida, Tampa, USA.
J Appl Gerontol. 2020 Oct;39(10):1153-1158. doi: 10.1177/0733464819870983. Epub 2019 Aug 27.
Hospital readmission rate is an important indicator for assessing quality of care in the acute and postacute settings. Identifying factors that increase risk for hospital readmissions can aid in the recognition of potential targets for quality improvement efforts. The main objective of this brief report was to examine the factors that predict increased risk of 30-day readmissions. We analyzed data from the 2013 National Readmission Database (NRD). The main factors that predicted increased risk of 30-day readmission were number of chronic conditions, severity of illness, mortality risk, and hospital ownership. Unexpectedly, discharge from a for-profit hospital was associated with greater risk for hospital readmission in the United States. These findings suggest that patients with severe physical illness and multiple chronic conditions should be the primary targets for hospital transitional care interventions to help reduce the rate of unnecessary hospital readmissions.
医院再入院率是评估急性和康复期医疗质量的一个重要指标。确定导致医院再入院风险增加的因素有助于识别潜在的质量改进目标。本简要报告的主要目的是研究预测 30 天再入院风险增加的因素。我们分析了 2013 年国家再入院数据库（NRD）的数据。预测 30 天再入院风险增加的主要因素是慢性疾病数量、疾病严重程度、死亡风险和医院所有权。出乎意料的是，在美国，从营利性医院出院与更高的医院再入院风险相关。这些发现表明，患有严重躯体疾病和多种慢性疾病的患者应成为医院过渡性护理干预的主要目标，以帮助降低不必要的医院再入院率。
