The study shows that better coordination of care between surgeons and primary care physicians is important to help reduce
hospital readmissions within 30 days for those high - risk surgery patients who have post-operative complications or live with a chronic disease, according to Benjamin S. Brooke, M.D., Ph.D., assistant professor of surgery at the University of Utah School of Medicine and first author on the study.
Ryan P. Merkow, M.D., M.S., of the American College of Surgeons, Chicago, and colleagues examined the reasons, timing, and factors associated with unplanned postoperative
hospital readmissions within 30 days after surgery.
Patients with chronic obstructive pulmonary disease (COPD) who participated in any level of moderate to vigorous physical activity had a lower risk of
hospital readmission within 30 days compared to those who were inactive, according to a study published today in the Annals of the American Thoracic Society.
Not exact matches
These challenges lead to a high rate of
hospital readmission in late preterm babies who are discharged
within 48 hours of birth.
«These seniors were supposed to stay out of the
hospital since the procedures were performed in the ambulatory setting, but they were admitted to the
hospital within 30 days,» said corresponding study author Dr. Gildasio De Oliveira Jr. «Age was the biggest factor associated with
readmission and complications.
«The impetus of this study was to better characterize resource use, which is rising, by focusing on how the number of transplants performed
within a center influences cost and early
hospital readmissions.»
Checking back into the
hospital within 30 days of discharge is not only bad news for patients, but also for
hospitals, which now face financial penalties for high
readmissions.
Lisa K. McIntyre, M.D., of the University of Washington Medical Center, Seattle, and colleagues conducted a study that included 173 general surgical patients (91 men) who were identified as being unplanned
readmissions within 30 days among 2,100 discharges (8 percent) at a Level I trauma center and safety - net
hospital.
Previous research has shown that one in five Medicare patients (20 %) is readmitted to a
hospital within 30 days of discharge following CABG surgery, and most of those
hospital readmissions are preventable, according to Dr. Hall.
Readmission rates of adult patients to the same
hospital within 30 days are an area of national focus and a potential indicator of clinical failure and unnecessary expenditures.
In the first multi-state study of children's and non-children's
hospitals, assessing pediatric
readmission and revisit rates — being admitted into the
hospital again or visiting the emergency room
within 30 days of discharge — for common pediatric conditions, UCSF researchers found that diagnosis - specific
readmission and revisit rates are limited in their usefulness as a quality indicator for pediatric
hospital care.
Results show that there were 9,244 (17 %)
readmissions into the
hospital within 30 days of discharge.
They compared two different models for calculating
hospital readmission rates
within 30 days of discharge.
The researchers therefore looked at whether
readmissions flagged as PPRs by 3M were associated with poorer quality of care than those that weren't in Veterans Health Administration patients admitted to
hospital with pneumonia, and readmitted
within 30 days, between 2006 and 2010.