PMID- 23142413 OWN - NLM STAT- MEDLINE DCOM- 20130528 LR - 20220317 IS - 1879-0828 (Electronic) IS - 0953-6205 (Linking) VI - 24 IP - 1 DP - 2013 Jan TI - Risk factors for hospital readmission of elderly patients. PG - 45-51 LID - S0953-6205(12)00278-6 [pii] LID - 10.1016/j.ejim.2012.10.005 [doi] AB - BACKGROUND: The aim of this study was to identify which factors were associated with a risk of hospital readmission within 3 months after discharge of a sample of elderly patients admitted to internal medicine and geriatric wards. METHODS: Of the 1178 patients aged 65 years or more and discharged from one of the 66 wards of the 'Registry Politerapie SIMI (REPOSI)' during 2010, 766 were followed up by phone interview 3 months after discharge and were included in this analysis. Univariate and multivariate logistic regression models were used to evaluate the association of several variables with rehospitalization within 3 months from discharge. RESULTS: Nineteen percent of patients were readmitted at least once within 3 months after discharge. By univariate analysis in-hospital clinical adverse events (AEs), a previous hospital admission, number of diagnoses and drugs, comorbidity and severity index (according to Cumulative Illness Rating Scale-CIRS), vascular and liver diseases with a level of impairment at discharge of 3 or more at CIRS were significantly associated with risk of readmission. Multivariate logistic regression analysis showed that only AEs during hospitalization, previous hospital admission, and vascular and liver diseases were significantly associated with the likelihood of readmission. CONCLUSIONS: The results demonstrate the need for increased medical attention towards elderly patients discharged from hospital with characteristics such as AEs during the hospitalization, previous admission, vascular and liver diseases. CI - Copyright (c) 2012 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved. FAU - Franchi, Carlotta AU - Franchi C AD - Mario Negri Institute for Pharmacological Research, Milan, Italy. carlotta.franchi@marionegri.it FAU - Nobili, Alessandro AU - Nobili A FAU - Mari, Daniela AU - Mari D FAU - Tettamanti, Mauro AU - Tettamanti M FAU - Djade, Codjo D AU - Djade CD FAU - Pasina, Luca AU - Pasina L FAU - Salerno, Francesco AU - Salerno F FAU - Corrao, Salvatore AU - Corrao S FAU - Marengoni, Alessandra AU - Marengoni A FAU - Iorio, Alfonso AU - Iorio A FAU - Marcucci, Maura AU - Marcucci M FAU - Mannucci, Pier Mannuccio AU - Mannucci PM CN - REPOSI Investigators LA - eng PT - Journal Article DEP - 20121108 PL - Netherlands TA - Eur J Intern Med JT - European journal of internal medicine JID - 9003220 SB - IM MH - Aged MH - Aged, 80 and over MH - Female MH - Geriatrics MH - Hospital Departments MH - Humans MH - Internal Medicine MH - Male MH - Patient Readmission/*statistics & numerical data MH - Risk Factors MH - Time Factors FIR - Pier, Mannuccio Mannucci IR - Pier MM FIR - Alessandro, Nobili IR - Alessandro N FIR - Tettamanti, Mauro IR - Tettamanti M FIR - Pasina, Luca IR - Pasina L FIR - Franchi, Carlotta IR - Franchi C FIR - Salvatore, Corrao IR - Salvatore C FIR - Salerno, Francesco IR - Salerno F FIR - Marengoni, Alessandra IR - Marengoni A FIR - Iorio, Alfonso IR - Iorio A FIR - Marcucci, Maura IR - Marcucci M FIR - Spirito, Valentina IR - Spirito V FIR - Noce, Damia IR - Noce D FIR - Bonazzi, Jacopo IR - Bonazzi J FIR - Lombardo, Rossana IR - Lombardo R FIR - Sparacio, Eleonora IR - Sparacio E FIR - Alborghetti, Stefania IR - Alborghetti S FIR - Tettamanti, Mauro IR - Tettamanti M FIR - De Vittorio, Luigi IR - De Vittorio L FIR - Djade, Codjo Djignefa IR - Djade CD FIR - Paolisso, Giuseppe IR - Paolisso G FIR - Rizzo, Maria Rosaria IR - Rizzo MR FIR - Laieta, Maria Teresa IR - Laieta MT FIR - Brignone, Chiara IR - Brignone C FIR - Roberto, Torella IR - Roberto T FIR - Persico, Marcello IR - Persico M FIR - Salvatore, Teresa IR - Salvatore T FIR - Sasso, Ferdinando Carlo IR - 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Carulli N FIR - Rondinella, Stefania IR - Rondinella S FIR - Giannico, Iolanda IR - Giannico I FIR - Dallegri, Franco IR - Dallegri F FIR - Ottonello, Luciano IR - Ottonello L FIR - Quercioli, Alessandra IR - Quercioli A FIR - Barreca, Alessandra IR - Barreca A FIR - Sacco, Andrea IR - Sacco A FIR - Bonelli, Antonio IR - Bonelli A FIR - Dentamaro, Gaetano IR - Dentamaro G FIR - Micale, Giuliana IR - Micale G FIR - Delitalia, Giuseppe IR - Delitalia G FIR - Deidda, Silvia IR - Deidda S FIR - Cuccuru, Luciana Maria IR - Cuccuru LM FIR - Benetti, Giampiero IR - Benetti G FIR - Quagliolo, Michela IR - Quagliolo M FIR - Centenaro, Giuseppe Riccardo IR - Centenaro GR FIR - Macchini, Luisa IR - Macchini L FIR - Perciccante, Antonio IR - Perciccante A FIR - Coralli, Alessia IR - Coralli A FIR - Realdi, Anna IR - Realdi A FIR - Cricco, Luigi IR - Cricco L FIR - Morabito, Cosimo IR - Morabito C FIR - Fava, Roberto IR - Fava R FIR - Fiorentini, Alessandra IR - Fiorentini A FIR - Tofi, Cristina IR - Tofi C EDAT- 2012/11/13 06:00 MHDA- 2013/05/29 06:00 CRDT- 2012/11/13 06:00 PHST- 2012/07/11 00:00 [received] PHST- 2012/10/02 00:00 [revised] PHST- 2012/10/19 00:00 [accepted] PHST- 2012/11/13 06:00 [entrez] PHST- 2012/11/13 06:00 [pubmed] PHST- 2013/05/29 06:00 [medline] AID - S0953-6205(12)00278-6 [pii] AID - 10.1016/j.ejim.2012.10.005 [doi] PST - ppublish SO - Eur J Intern Med. 2013 Jan;24(1):45-51. doi: 10.1016/j.ejim.2012.10.005. Epub 2012 Nov 8.