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"Risk" Factors Affecting Readmission of the Elderly Into the Health Care System

Bibliographic Data

ID9104770
AuthorsCarol C Fethke (University of Iowa), Ian M Smith (0000-0003-4340-5385, University of Iowa), Nancilee Johnson (University of Iowa)
Year1986
Volume24
Issue5
Pages429-437
Publication date1986-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198605000-00006
PMID3702502
OpenAlexW1988401832
LanguageEN
Citations received11

One hundred one patients, 70 years and older, who were discharged to the community from an acute-care hospital were followed for 1 year to isolate risk factors affecting the probability of readmission. A total of five interviews were conducted with each patient. Postdischarge outcome at any point in time was defined as either readmission to a health care institution or continuous survival in the community. At 1 year, 47 individuals had experienced at least one unplanned readmission. Logistic regressions were used to study risk factors influencing the probability of readmission at 6 weeks, 6 months, and 1 year after release from the hospital. In the short run, sex, being widowed, a weighted severity-of-illness factor, and life satisfaction were significant; previous hospitalization and admission and discharge location were additional variables significant in the long run. An explanation is offered for why some risk factors useful in postadmission studies do not function as well as risk factors in post-discharge studies

Health care · Hospital readmission · Logistic regression · Risk factor · Emergency and Acute Care Studies · Emergency Medicine · Geriatric Care and Nursing Homes · Heart Failure Treatment and Management · Internal Medicine · Medicine · Gerontology

  • Measuring Hospital Performance

    Susan I Desharnais, Susan DesHarnais et al.•Medical Care•1990

  • Postdischarge Care and Readmissions

    David M Smith, Morris Weinberger et al.•Medical Care•1988

  • Medicare Beneficiaries

    Gerald F Riley, Gerald Riley et al.•Medical Care•1993

  • Investigating Early Readmission as an Indicator for Quality of Care Studies

    J W Thomas, James J Holloway•Medical Care•1991

  • Characterization of Geriatric Drug-Related Hospital Readmissions

    Lisa A Bero, Lisa Bero et al.•Medical Care•1991

  • Effect of Mental Disorders on Hospital Readmission for Medical/Surgical Patients

    Open Access•Ron L Evans, Robert D Hendricks et al.•Psychological Reports•1988

  • Predicting Elderly People’s Risk for Nursing Home Placement, Hospitalization, Functional Impairment, and Mortality

    Open Access•Elizabeth A Miller, Edward Alan Miller et al.•Medical Care Research and Review•2000

  • Identifying factors associated with health care use

    Open Access•Ron L Evans, Robert D Hendricks et al.•Social Science & Medicine•1988

  • Preventable inpatient time

    David L Katz, Ramesh Mazhari et al.•American Journal of Public Health•1999

  • Factors associated with readmission to a general hospital in Brazil

    Open Access•Mônica S Monteiro De Castro, Matheus Dos Santos Carvalho et al.•Cadernos de Saude Publica•2005

  • Caregiver's needs as predictors of hospital readmission for the elderly in Taiwan

    Open Access•Yea-Ing Lotus Shyu, Min-Chi Chen et al.•Social Science & Medicine•2004

Unique citing works11
Citations per year0.29
Citation span1988 - 2005 (18)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6

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