Instability before discharge and previous psychiatric admissions as predictors of early readmission.

Instability before discharge and previous psychiatric admissions as predictors of early readmission.
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出院前的不稳定和之前的精神病入院是早期再入院的预测因素。

DOI:
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发表时间:
1997
影响因子:
3.8
通讯作者:
Edward P. Monnelly
Edward P. Monnelly
中科院分区:
医学3区
文献类型:
--
作者:
Edward P. Monnelly

文献摘要

被引文献

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在一项回顾性图表审查中,对 531 名住院退伍军人在指数入院期间所接受的护理质量进行了检查,以确定出院 30 天内重新入院的 243 名患者与至少 6 个月内未重新入院的 288 名患者组成的对照组之间的患者特征或治疗方面是否存在差异。提前再入院的最强预测因素是之前入院的人数较多。出院前五天的患者不稳定也预示着提前再入院。这些结果可能有助于识别早期再住院风险较高的患者。确保再住院率较高的患者在出院前病情稳定可能有助于减少早期再入院的情况。
In a retrospective chart review, the quality of care given 531 hospitalized veterans during an index admission was examined to determine whether patient characteristics or aspects of treatment differed between 243 patients readmitted within 30 days of discharge and a control group of 288 patients not readmitted for at least six months. The strongest predictor of early readmission was a greater number of previous admissions. Patient instability in the five days before discharge also predicted early readmission. These results may help identify patients at higher risk of early rehospitalization. Ensuring that patients with higher rates of rehospitalization are stable before discharge may help reduce early readmission.