Frequency and risk factors associated with emergency medical readmissions in Galway University Hospitals
Frequency and risk factors associated with emergency medical readmissions in Galway University Hospitals
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DOI：
10.1007/s11845-009-0452-z
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发表时间：
2010-06-01
影响因子：
2.1
通讯作者：
O'Keeffe, S. T.
中科院分区：
文献类型：
--
作者：
Gorman, J.;Vellinga, A.;O'Keeffe, S. T.
近年来，非计划再入院的医疗医院病人不断增加。我们调查了高威大学医院（GUH）急诊再入院的频率和相关情况。利用医院住院病人查询数据对2006历年的再入院情况进行了检查。使用单变量和多变量分析确定与临床和人口因素的关联。经指数入院期间死亡校正后，医院急诊再入院率为19.5%。单因素和多因素分析显示，入院时年龄65岁及以上、男性、住院时间大于7天、原发性慢性阻塞性肺疾病、心肌梗死、酒精相关疾病和心力衰竭与再入院有显著相关性。GUH的医疗急诊再入院率与爱尔兰和英国的其他急症医院相当。需要进一步评估以估计可能可避免的再入院比例。
Unplanned readmissions of medical hospital patients have been increasing in recent years. We examined the frequency and associates of emergency medical readmissions to Galway University Hospitals (GUH).Readmissions during the calendar year 2006 were examined using hospital in-patient enquiry data. Associations with clinical and demographic factors were determined using univariate and multivariate analyses.The medical emergency readmission rate to GUH, after correction for death during the index admission, was 19.5%. Age 65 years or more, male gender, length of stay more than 7 days and primary diagnoses of chronic obstructive pulmonary disease, myocardial infarction, alcohol-related disease and heart failure during the index admission were significantly associated with readmission in univariate and multivariate analyses.The medical emergency readmission rate in GUH is comparable to other acute hospitals in Ireland and Britain. Further evaluation is needed to estimate the proportion of readmissions that are potentially avoidable.