Article
Pediatrics
Nayara Cristina da Silva, Marcelo Keese Albertini, Andre Ricardo Backes, Georgia das Gracas Pena
Summary: Identifying patients at high risk of readmission is important to reduce hospital costs and provide targeted care. This study aimed to validate the use of the HOSPITAL score in predicting avoidable readmissions in a pediatric population. The results showed that the HOSPITAL score had good discrimination and can be a useful tool in predicting 30-day potentially avoidable readmissions in pediatric patients.
EUROPEAN JOURNAL OF PEDIATRICS
(2023)
Review
Cardiac & Cardiovascular Systems
Keerat Rai Ahuja, Salik Nazir, Robert W. Ariss, Parikshit Bansal, Rajat Garg, Satish Kumar Ahuja, Abdul Mannan Khan Minhas, Serge Harb, Amar Krishnaswamy, Shinya Unai, Samir R. Kapadia
Summary: Transcatheter mitral valve repair (TMVr) can reduce heart failure rehospitalization and all cause mortality, but the 30-day all-cause readmission rate is still high. Therefore, a 30-day readmission risk calculator for TMVr was developed and validated. The calculator included variables such as heart failure, atrial fibrillation, anemia, length of stay >= 4 days, acute kidney injury (AKI), and non-tistic for readmission risk. The tool showed high accuracy in predicting readmissions up to 20%.
CURRENT PROBLEMS IN CARDIOLOGY
(2023)
Article
Computer Science, Hardware & Architecture
Nayara Cristina da Silva, Marcelo Keese Albertini, Andre Ricardo Backes, Georgia das Gracas Pena
Summary: The study found that the HOSPITAL score can effectively predict high-risk patients for 30-day potentially avoidable readmission in a Brazilian hospitalized population. This tool is applicable to patients with different diagnoses and can be used as part of intervention strategies to reduce the rate of hospital readmission.
JOURNAL OF CIRCUITS SYSTEMS AND COMPUTERS
(2023)
Article
Medicine, General & Internal
Bastien Boussat, Fabiana Cazzorla, Marion Le Marechal, Patricia Pavese, Anne-Laure Mounayar, Elodie Sellier, Jacques Gaillat, Boubou Camara, Bruno Degano, Mylene Maillet, Xavier Courtois, Magali Bouisse, Arnaud Seigneurin, Patrice Francois
Summary: This study analyzed the avoidability of 30-day readmissions following hospitalization for community-acquired pneumonia in two large hospitals in France in 2014. It found that only a small percentage of readmissions were deemed avoidable, with a shorter time interval between discharge and readmission being associated with avoidability.
Article
Health Care Sciences & Services
Olivia Dalleur, Patrick E. Beeler, Jeffrey L. Schnipper, Jacques Donze
Summary: This study found that approximately 13% of 30-day preventable readmissions were due to adverse drug events. Half of them were due to prescription errors, mainly involving diuretics, analgesics, or antithrombotics, and the other half were due to suboptimal patient monitoring/education, most frequently with antineoplastics. Both of these avoidable causes may represent opportunities to reduce the total drug-related adverse events.
JOURNAL OF PATIENT SAFETY
(2021)
Article
Multidisciplinary Sciences
Anne Grauer, Talea Cornelius, Marwah Abdalla, Nathalie Moise, Ian M. Kronish, Siqin Ye
Summary: This retrospective observational study using electronic health records data found that telemedicine visits did not significantly reduce 30-day hospital readmission rates compared to in-person visits. These findings suggest that telemedicine visits are a safe and viable alternative for post-hospitalization follow-up care.
Article
Cardiac & Cardiovascular Systems
Dhaval Kolte, Kevin Kennedy, Jason H. Wasfy, Anupam B. Jena, Sammy Elmariah
Summary: There is significant variation in 30-day readmission rates after TAVR across hospitals that is not entirely explained by differences in patient or hospital characteristics as well as hospital-wide practice patterns. Noncardiac readmissions are more common in hospitals with the highest RSRRs.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Chih-Ying Li, Allen Haas, Kevin T. Pritchard, Amol Karmarkar, Yong-Fang Kuo, Kimberly Hreha, Kenneth J. Ottenbacher
Summary: The study found that patients who were more functionally dependent at the initial post-acute setting had a higher risk of hospital readmission. This finding holds true across different impairment conditions and post-acute care settings.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Anesthesiology
Simon Feng, Carl van Walraven, Manoj M. Lalu, Husein Moloo, Reilly Musselman, Daniel I. McIsaac
Summary: Older people undergoing emergency general surgery have an increased risk of morbidity and mortality. We developed a model to predict 30-day mortality risk in these patients and validated it both internally and externally. The model showed strong discrimination and calibration in internal validation, but performed poorly in external validation.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Article
Medicine, General & Internal
Denise M. Goodman, Mia T. Casale, Karen Rychlik, Michael S. Carroll, Katherine A. Auger, Tracie L. Smith, Jenifer Cartland, Matthew M. Davis
Summary: This study aimed to develop and validate a tool to identify patients at risk for subsequent readmission before hospital discharge, applicable to all ages. Three models were derived and validated to predict all-cause 30-day readmission for different patient cohorts.
Article
Clinical Neurology
Fareed Jumah, Silky Chotai, Patrick Hilden, Bharath Raju, Anmol Nagaraj, Pankaj Agarwalla, Stephen Johnson, Gaurav Gupta, Hai Sun, Anil Nanda
Summary: The study found that the rate of DAMA in concussion patients was 2.6%, with factors such as age, gender, comorbidity index, injury cause, and income level being associated with DAMA. DAMA independently predicted 30-day readmission, highlighting the importance of interventions to reduce DAMA and its impact on patients' clinical outcomes.
Article
Nursing
Jung In Park, Doyub Kim, Jung-Ah Lee, Kai Zheng, Alpesh Amin
Summary: The study aimed to develop and validate machine learning models to predict personalized risk for 30-day readmission with VTE. Three prediction models were evaluated, with the balanced random forest model outperforming the others. This high-performing risk prediction tool can guide treatment decisions for better patient outcomes.
JOURNAL OF NURSING SCHOLARSHIP
(2021)
Article
Nursing
Charlene H. L. Wong, William K. W. Cheung, Claire C. W. Zhong, Eng-kiong Yeoh, Chi Tim Hung, Benjamin H. K. Yip, Eliza L. Y. Wong, Samuel Y. S. Wong, Vincent C. H. Chung
Summary: The study showed that nurse-led peri-discharge interventions did not significantly differ from usual care in reducing all-cause 30-day hospital readmissions. Simple interventions were found to be just as effective as more complex ones.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2021)
Article
Multidisciplinary Sciences
Lukas Higi, Angela Lisibach, Patrick E. Beeler, Monika Lutters, Anne-Laure Blanc, Andrea M. Burden, Dominik Staempfli
Summary: This study conducted an external validation of the PAR-Risk Score and found limited overall performance, although higher scores were associated with an increased risk for potentially avoidable readmissions. Patients in the high-risk group had significantly higher odds of being readmitted within 30 days.
Article
Medicine, General & Internal
Neelkumar Patel, Bharat Narasimhan, Dhrubajyoti Bandyopadhyay, Mahmoud Amreia, Sandipan Chakraborty, Adrija Hajra, Birendra Amgai, Devesh Rai, Yiming Luo, Chayakrit Krittanawong, Amit Kumar Dey, Raktim K. Ghosh, Gregg C. Fonarow, Gregg M. Lanier, Teresa De Marco, Srihari S. Naidu
Summary: Patients with PH undergoing PCI are at higher risk of mortality and 30-day readmission rates, largely driven by cardiac causes. They are more likely to experience recurrent heart failure and non-ST-segment elevation myocardial infarction compared to non-PH counterparts.
MAYO CLINIC PROCEEDINGS
(2021)