Understanding readmissions: An in-depth review of 50 patients readmitted back to an acute hospital within 30 days - 13/03/13
Abstract |
Background |
Readmissions back into an acute hospital are attracting greater interest as a marker of disconnect between primary, secondary and social care.
Objective |
To develop an in-depth understanding of the reasons contributing towards short-term readmissions in older people, and identifying potential interventions.
Design |
In-depth analysis of 50 patients readmitted back into an acute hospital within 30days; thematic analysis.
Setting |
A large acute teaching hospital in the East Midlands, UK.
Subjects |
People aged 70years or older readmitted within 30days from any speciality into the Acute Medical Unit.
Methods |
Simple descriptive statistics were used to describe the nature of the sample examined, and thematic analysis was undertaken to summarise the main causes underpinning the readmission.
Results |
Fifty patients with a mean age 82.2years, 46% male, 9% from their own home, 50% with cognitive impairment, mean 5.2 co-morbidities, mean 6.5 medications and median Rockwoood frailty score 5. Sixty-four percent of the readmissions were related to the index admission, the majority medical in nature (69%) of which 86% were potentially preventable.
Conclusions |
Most short-term readmissions to an acute hospital are driven by medical issues, which might be addressed by comprehensive assessment during the index admission and early follow-up.
Le texte complet de cet article est disponible en PDF.Keywords : Comprehensive geriatric assessment, Readmission, Frailty, Acute care
Plan
Vol 4 - N° 1
P. 25-27 - février 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?