ArticleClinical medicine (London, England)2011
Emergency medical readmission: long-term trends and impact on mortality.
Article in Clinical medicine (London, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers and Facilitators to Implementing Interventions for Reducing Avoidable Hospital Readmission: Systematic Review of Qualitative Studies.International journal of health policy and management · 2023Pooled it
- Virtual nursing implementation and 30-day patient readmissions: a multi-site study.NPJ digital medicine · 2026Article
- Baseline Characteristics, Case Mix, and Outcomes of Patients Admitted to a Busy Urban Acute Medical Unit in Ireland.Cureus · 2025Article
- The crucial factor of hospital readmissions: a retrospective cohort study of patients evaluated in the emergency department and admitted to the department of medicine of a general hospital in Italy.European journal of medical research · 2015Observational
- Letters to the editor.Future hospital journal · 2014Article
- Site of hospital readmission and mortality: a population-based retrospective cohort study.CMAJ open · 2014Article
- Deprivation in cold weather increases the risk of hospital admission with hypothermia in older people.Irish journal of medical science · 2013Article
- Quantitative tools for addressing hospital readmissions.BMC research notes · 2012Article
- Effectiveness of Peri-Discharge Complex Interventions for Reducing 30-Day Readmissions among COPD Patients: Overview of Systematic Reviews and Network Meta-Analysis.International journal of integrated careArticle
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is increasing emphasis on prevention of emergency medical readmissions. The broad pattern of acute medical readmissions was studied over a seven-year period and the impact of any readmission on 30-day mortality was recorded. Significant predictors of outcome, including co-morbidity and illness severity score, were entered into a multivariate regression model, adjusting the univariate estimates of the readmission status on mortality. In total, 23,114 consecutive acute medical patients were admitted between 2002-8; the overall readmission rate was 27%. Readmission independently predicted an increased 30-day mortality; the odds ratio, was 1.12 (95% confidence interval (CI) 1.09 to 1.14). This fell to 1.05 (95% CI 1.02 to 1.08) when adjusted for outcome predictors including acute illness severity. The trend for readmissions was to progressively increase over time; the median times between consecutive admissions formed an exponential time series. Efforts to reduce or avoid readmissions may depend on an ability to modify the underlying chronic disease.
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