PMID- 27634174
OWN - NLM
STAT- MEDLINE
DCOM- 20170214
LR  - 20181113
IS  - 2047-783X (Electronic)
IS  - 0949-2321 (Print)
IS  - 0949-2321 (Linking)
VI  - 21
IP  - 1
DP  - 2016 Sep 15
TI  - Unplanned readmissions in younger and older adult patients: the role of 
      healthcare-related adverse events.
PG  - 35
LID - 10.1186/s40001-016-0230-0 [doi]
LID - 35
AB  - BACKGROUND: Readmissions are a burden for patients and increase healthcare costs. 
      In Europe, factors associated with readmissions have not yet been extensively 
      investigated. This study aimed to discover factors associated with readmissions 
      in both young and older adult internal medicine patients. Furthermore, we 
      explored the role of healthcare-related adverse events (AEs) in readmissions. 
      METHODS: All patients admitted through the emergency department to the internal 
      medicine department in the last 2 weeks of each month (2011) were included. 
      Information on index admissions and readmissions, defined as an unplanned 
      admission within 30 days after discharge, was obtained from the electronic 
      patient record system. Demographic, clinical, and organizational factors were 
      evaluated for their association with readmissions. RESULTS: Of all patients 
      (n = 940), 17.3 % were readmitted; 16.9 % of the younger (<65 years, n = 485), 
      and 17.8 % of the older patients (>/=65 years, n = 455). Dependency in activities 
      of daily living (ADL) was the only factor associated with readmissions in both 
      all ages (OR 2.43) and in older patients (OR 3.19), while age was associated with 
      readmissions in younger patients (OR 1.03 per year). AEs leading to 35.4 % of all 
      index admissions were not associated with readmissions. CONCLUSIONS: Readmissions 
      are common in medical patients, and, thus, remain a reason for concern in terms 
      of patient safety and quality of care. AEs, responsible for to the index 
      admission, were not associated with readmissions. ADL dependency was the only 
      factor associated with readmission in patients of all ages and older patients, 
      indicating that determining which patients are at risk for readmissions is not 
      easy.
FAU - Magdelijns, Fabienne J H
AU  - Magdelijns FJ
AD  - Division of General Medicine, Department of Internal Medicine, Maastricht 
      University Medical Centre, Maastricht University, PO Box 5800, 6202 AZ, 
      Maastricht, The Netherlands. fabienne.magdelijns@mumc.nl.
FAU - Schepers, Larissa
AU  - Schepers L
AD  - Division of General Medicine, Department of Internal Medicine, Maastricht 
      University Medical Centre, Maastricht University, PO Box 5800, 6202 AZ, 
      Maastricht, The Netherlands.
FAU - Pijpers, Evelien
AU  - Pijpers E
AD  - Section Clinical Geriatric Medicine, Division of General Medicine, Department of 
      Internal Medicine, Maastricht University Medical Centre, Maastricht University, 
      Maastricht, The Netherlands.
FAU - Stehouwer, Coen D A
AU  - Stehouwer CD
AD  - Division of General Medicine, Department of Internal Medicine, and Cardiovascular 
      Research Institute Maastricht, Maastricht University Medical Centre, Maastricht 
      University, Maastricht, The Netherlands.
FAU - Stassen, Patricia M
AU  - Stassen PM
AD  - Section of Acute Medicine, Division of General Medicine, Department of Internal 
      Medicine, School of CAPHRI, Maastricht University Medical Centre, Maastricht 
      University, Maastricht, The Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20160915
PL  - England
TA  - Eur J Med Res
JT  - European journal of medical research
JID - 9517857
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Emergency Service, Hospital/statistics & numerical data
MH  - Female
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Netherlands
MH  - Patient Readmission/*statistics & numerical data
MH  - *Quality of Health Care
PMC - PMC5025596
OTO - NOTNLM
OT  - Healthcare-related adverse events
OT  - Predictive factors
OT  - Readmissions
EDAT- 2016/09/17 06:00
MHDA- 2017/02/15 06:00
PMCR- 2016/09/15
CRDT- 2016/09/17 06:00
PHST- 2016/02/10 00:00 [received]
PHST- 2016/09/07 00:00 [accepted]
PHST- 2016/09/17 06:00 [entrez]
PHST- 2016/09/17 06:00 [pubmed]
PHST- 2017/02/15 06:00 [medline]
PHST- 2016/09/15 00:00 [pmc-release]
AID - 10.1186/s40001-016-0230-0 [pii]
AID - 230 [pii]
AID - 10.1186/s40001-016-0230-0 [doi]
PST - epublish
SO  - Eur J Med Res. 2016 Sep 15;21(1):35. doi: 10.1186/s40001-016-0230-0.