Please use this identifier to cite or link to this item: https://doi.org/10.1371/journal.pone.0233457
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dc.titleReasons for readmission after hospital discharge in patients with chronic diseases-Information from an international dataset
dc.contributor.authorBrunner-La Rocca, Hans-Peter
dc.contributor.authorPeden, Carol J
dc.contributor.authorSoong, John
dc.contributor.authorHolman, Per Arne
dc.contributor.authorBogdanovskaya, Maria
dc.contributor.authorBarclay, Lorna
dc.date.accessioned2022-01-11T01:09:38Z
dc.date.available2022-01-11T01:09:38Z
dc.date.issued2020-06-30
dc.identifier.citationBrunner-La Rocca, Hans-Peter, Peden, Carol J, Soong, John, Holman, Per Arne, Bogdanovskaya, Maria, Barclay, Lorna (2020-06-30). Reasons for readmission after hospital discharge in patients with chronic diseases-Information from an international dataset. PLOS ONE 15 (6). ScholarBank@NUS Repository. https://doi.org/10.1371/journal.pone.0233457
dc.identifier.issn19326203
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/213657
dc.description.abstractBackground Chronic diseases are increasingly prevalent in Western countries. Once hospitalised, the chance for another hospitalisation increases sharply with large impact on well-being of patients and costs. The pattern of readmissions is very complex, but poorly understood for multiple chronic diseases. Methods This cohort study of administrative discharge data between 2009-2014 from 21 tertiary hospitals (eight USA, five UK, four Australia, four continental Europe) investigated rates and reasons of readmissions to the same hospital within 30 days after unplanned admission with one of the following chronic conditions; heart failure; atrial fibrillation; myocardial infarction; hypertension; stroke; chronic obstructive pulmonary disease (COPD); bacterial pneumonia; diabetes mellitus; chronic renal disease; anaemia; arthritis and other cardiovascular disease. Proportions of readmissions with similar versus different diseases were analysed. Results Of 4,901,584 admissions, 866,502 (17.7%) were due to the 12 chronic conditions. In-hospital, 43,573 (5.0%) patients died, leaving 822,929 for readmission analysis. Of those, 87,452 (10.6%) had an emergency 30-day readmission, rates ranged from 2.8% for arthritis to 18.4% for COPD. One third were readmitted with the same condition, ranging from 53% for anaemia to 11% for arthritis. Reasons for readmission were due to another chronic condition in 10% to 35% of the cases, leaving 30% to 70% due to reasons other than the original 12 conditions (most commonly, treatment related complications and infections). The chance of being readmitted with the same cause was lower in the USA, for female patients, with increasing age, more co-morbidities, during study period and with longer initial length of stay. Conclusion Readmission in chronic conditions is very common and often caused by diseases other than the index hospitalisation. Interventions to reduce readmissions should therefore focus not only on the primary condition but on a holistic consideration of all the patient's comorbidities. Copyright:
dc.language.isoen
dc.publisherPUBLIC LIBRARY SCIENCE
dc.sourceElements
dc.subjectScience & Technology
dc.subjectMultidisciplinary Sciences
dc.subjectScience & Technology - Other Topics
dc.subject30-DAY READMISSION
dc.subjectHEART-FAILURE
dc.subjectRISK
dc.subjectPREDICTORS
dc.subjectREHOSPITALIZATION
dc.subjectPREVENTABILITY
dc.subjectSURGERY
dc.subjectASTHMA
dc.subjectTRENDS
dc.typeArticle
dc.date.updated2022-01-10T12:51:54Z
dc.contributor.departmentDEPT OF MEDICINE
dc.description.doi10.1371/journal.pone.0233457
dc.description.sourcetitlePLOS ONE
dc.description.volume15
dc.description.issue6
dc.published.statePublished
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