PMID- 8709677
OWN - NLM
STAT- MEDLINE
DCOM- 19960909
LR  - 20061115
IS  - 0025-7753 (Print)
IS  - 0025-7753 (Linking)
VI  - 107
IP  - 1
DP  - 1996 Jun 1
TI  - [Factors associated with emergency hospital readmission in digestive and 
      hepatobiliary diseases].
PG  - 4-13
AB  - OBJECTIVE: To describe the epidemiological characteristics of emergency 
      readmissions due to digestive and hepatobiliary diseases within the hospitals of 
      the Valencian Health Service (VHS), Spain, and to examine their relationship with 
      defined variables related to patients or to previous periods of hospitalization. 
      PATIENTS AND METHODS: Out of the 212,947 episodes of patient hospitalization 
      included in the Uniform Hospital Discharge Data Set of the VHS, excluding those 
      persons under 16 years of age, those who had died in hospital or were discharged 
      due to being transferred to another hospital and also excluding the two hospitals 
      whose record were of poor quality, 18,075 patients were chosen whose principal 
      diagnosis on first admission was one of a digestive or hepatobiliary disease. 
      After a descriptive analysis the relationship was explored between risk of 
      readmission and the variables of age, gender, hospital funding, whether the 
      environment is a rural or urban one, the hospital itself, the diagnostic group, 
      comorbidity, type of admission, length of stay, presence of surgical procedure, 
      discharge criteria and service using an independent Cox Proportional Hazards 
      analysis for each variable and a second Cox analysis adjusted for selected 
      variables. RESULTS: 16.9% of those patients discharged for digestive disorders 
      are re-admitted within a year. The risk of readmission is associated with age, 
      comorbidity, male sex and chronic diseases and, with respect to the previous 
      episode of hospitalization, it is associated with emergency admission, longer 
      period of hospitalization, non-surgical discharge and admission to certain 
      hospitals. CONCLUSION: The risk of emergency readmission is associated with 
      defined variables relating to patient or previous episodes of hospitalization 
      connected with a more serious condition. The risk adjustment carried out could be 
      used in order to identify high-risk cases which could then be paid special 
      attention in order to delay or prevent readmission and as an indirect indicator 
      for use in monitoring the quality of hospital care.
FAU - Peiro, S
AU  - Peiro S
AD  - Unitat d'Investigacio en Serveis de Salut, Institut Valencia d'Estudis en Salut 
      Publica.
FAU - Librero, J
AU  - Librero J
FAU - Benages Martinez, A
AU  - Benages Martinez A
LA  - spa
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Factores asociados al reingreso hospitalario urgente en enfermedades digestivas y 
      hepatobiliares.
PL  - Spain
TA  - Med Clin (Barc)
JT  - Medicina clinica
JID - 0376377
SB  - IM
CIN - Med Clin (Barc). 1997 May 31;109(1):37. PMID: 9303978
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Biliary Tract Diseases/*therapy
MH  - Digestive System Diseases/*therapy
MH  - Emergencies
MH  - Female
MH  - Humans
MH  - Length of Stay
MH  - Liver Diseases/*therapy
MH  - Male
MH  - Middle Aged
MH  - *Patient Readmission
MH  - Proportional Hazards Models
MH  - Quality of Health Care
MH  - Risk Factors
EDAT- 1996/06/01 00:00
MHDA- 1996/06/01 00:01
CRDT- 1996/06/01 00:00
PHST- 1996/06/01 00:00 [pubmed]
PHST- 1996/06/01 00:01 [medline]
PHST- 1996/06/01 00:00 [entrez]
PST - ppublish
SO  - Med Clin (Barc). 1996 Jun 1;107(1):4-13.