Table 5 Studies of preventable readmissions for other conditions among adults, United States, 2000-2009
From: Determinants of preventable readmissions in the United States: a systematic review
Citation | Reported readmission type (and explanation if provided) | Index condition* | Readmit condition | Timeframe | Population and Setting | Design and Sample size | Data source(s) | Risk factors/associated factors | Conceptually linked admissions†| Strategy for patient linkage‡ | Used multivariate statistics§ |
|---|---|---|---|---|---|---|---|---|---|---|---|
El Solh et al [51] | Late unplanned | Pneumonia | Pneumonia | 30 days to 1 year | Patients ≥65 years from 3 university affiliated hospitals | Case control (408) | Multiple hospital databases | Patient Increasing ADL score (more dependent) Smoking Swallowing dysfunction Pneumovax (less likely) Angiotensin-converting enzyme inhibitor (less likely) Tranquilizer | Yes | No | Yes |
Jiang et al [31] | Potentially preventable (complication more likely preventable with effective postdischarge care) | 10 diagnosis of diabetes or 20 diabetes diagnosis among high risk conditions | Diabetes - related | 30 and 180 days | Diabetics ≥18 years in Healthcare Cost and Utilization Project from CA, MO, NY, TN, VA | Retrospective cohort (130,751) | Healthcare Cost and Utilization Project | Patient Hispanic (30 and 180 days) Black (180 days) | Yes | Yes | Yes |
Marwitz et al [49] | Unplanned, non-elective | Traumatic brain injury | Any non-elective or unplanned reason | 1 and 5 years | NIDRR Traumatic Brain Injury Program from 17 medical centers nationwide | Prospective cohort (895) | NIDRR Model Systems for Traumatic Brain Injury database | Environment Private residence less likely | Yes | Yes | No |
Robbins and Webb [41] | Unplanned, undesirable readmissions | Diabetes | Any non-elective | 30 days | Diabetics ages 25 - 84 from Philadelphia | Retrospective cohort (291,752) | Pennsylvania Healthcare Cost Containment Council database | Patient Male Increasing age less likely African American Hispanic less likely Asian Other/unknown race-ethnicity Increasing severity class Increasing number of prior hospitalizations Encounter Medicaid less likely than Medicare Private insurance less likely than Medicare Uninsured/self-pay less likely than Medicare Increasing length of stay Discharged to other institution Discharged to home health Discharged against medical advice | No | Yes | Yes |
Weaver et al [52] | Unplanned | Cancer | Any unplanned | 7 days | Cancer patients from cancer center in PA | Case control (78) | Chart review | Patient Gastrointestinal cancer Financial or insurance problems Living alone Environment Caregiver difficulty | No | No | No |