Factors associated with unplanned readmissions in a major Australian health service

Factors associated with unplanned readmissions in a major Australian health service
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DOI:
10.1071/ah16287
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发表时间:
2019-01-01
影响因子:
1.8
通讯作者:
Darzins, Peteris
Darzins, Peteris
中科院分区:
医学4区
文献类型:
--
作者:
Considine, Julie;Fox, Karen;Darzins, Peteris

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目的本研究的目的是获得与计划外再入院28天内急性护理出院的主要澳大利亚卫生服务的相关因素的理解。方法使用管理数据库对2015年8月1日至12月31日的20 575例急性护理出院进行回顾性研究。在1例非计划性再入院患者中,评价了患者、索引入院和再入院特征与非计划性再入院的相关性。(OR 1.1-1.9),存在慢性疾病(OR 1.4)或并发症(OR 1.8)在首次入院期间,首次入院住院时间(LOS)>2天(OR 1.4-1.8)、入院(OR 1.7-10.86)或急诊(艾德)就诊(OR 1.8-5.2)和医疗服务中心(OR 1.2-1.6)。然而,与计划外再入院风险增加相关的因素
Objective The aim of the present study was to gain an understanding of the factors associated with unplanned hospital readmission within 28 days of acute care discharge from a major Australian health service. Methods A retrospective study of 20 575 acute care discharges from 1 August to 31 December 2015 was conducted using administrative databases. Patient, index admission and readmission characteristics were evaluated for their association with unplanned readmission in 1 (OR 1.1-1.9), the presence of chronic disease (OR 1.4) or complications (OR 1.8) during the index admission, index admission length of stay (LOS) >2 days (OR 1.4-1.8), hospital admission(s) (OR 1.7-10.86) or emergency department (ED) attendance(s) (OR 1.8-5.2) in the 6 months preceding the index admission and health service site (OR 1.2-1.6). However, the factors associated with increased risk of unplanned readmission