ArticleInjury2014
Early hospital readmission in the trauma population: are the risk factors different?
Article in Injury, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.
- Risk factors of adverse health outcomes after hospital discharge modifiable by clinical pharmacist interventions: a review with a systematic approach.British journal of clinical pharmacology · 2017Pooled it
- Characterizing a Common Phenomenon: Why do Trauma Patients Re-present to the Emergency Department?The Journal of surgical research · 2024Article
- Article
- Impact of Medicaid expansion on young adult firearm and motor vehicle crash trauma patients.Surgery open science · 2022Article
- Association of the Affordable Care Act Medicaid Expansion with Trauma Outcomes and Access to Rehabilitation among Young Adults: Findings Overall, by Race and Ethnicity, and Community Income Level.Journal of the American College of Surgeons · 2021Article
- Association of Psychosocial Factors and Hospital Complications with Risk for Readmission After Trauma.The Journal of surgical research · 2021Article
- Australian Injury Comorbidity Indices (AICIs) to predict burden and readmission among hospital-admitted injury patients.BMC health services research · 2021Article
- Readmissions after nonoperative trauma: Increased mortality and costs with delayed intervention.The journal of trauma and acute care surgery · 2020Article
- Article
- Complications, burden and in-hospital death among hospital treated injury patients in Victoria, Australia: a data linkage study.BMC public health · 2019Article
- Risk Factors for Bloodstream Infections Among an Urban Population with Skin and Soft Tissue Infections: A Retrospective Unmatched Case-Control Study.Infectious diseases and therapy · 2019Article
- Association of Medicaid Expansion Under the Affordable Care Act With Outcomes and Access to Rehabilitation in Young Adult Trauma Patients.JAMA surgery · 2018Article
- US pediatric trauma patient unplanned 30-day readmissions.Journal of pediatric surgery · 2018Article
- Outcomes and Risk Factors for Polymicrobial Posttraumatic Osteomyelitis.Journal of bone and joint infection · 2018Article
- Hospital Readmissions After Pediatric Trauma.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2018Article
- Trauma Transitional Care Coordination: protecting the most vulnerable trauma patients from hospital readmission.Trauma surgery & acute care open · 2018Article
- Missed injuries and unplanned readmissions in pediatric trauma patients.Journal of pediatric surgery · 2017Article
- Preinjury ASA score as an independent predictor of readmission after major traumatic injury.Trauma surgery & acute care open · 2017Article
- Trauma advanced practice provider programme development in an academic setting to optimize care coordination.Trauma surgery & acute care open · 2017Article
- Hospital Readmission Through the Emergency Department.Trauma monthly · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
introductionHospital readmission rates will soon impact Medicare reimbursements. While risk factors for readmission have been described for medical and elective surgical patients, little is known about their predictive value specifically in trauma patients. PATIENTS AND
methodsWe retrospectively identified all admissions after trauma resuscitation to our urban level 1 trauma centre from 1/1/2004 to 8/31/2010. All patients discharged alive were included. Data collected included demographics, Injury Severity Score (ISS), and length of stay (LOS). We analyzed these index admissions for the development of complications that have previously been shown to be associated with readmission. Readmissions that occurred within 30 days of index admission were identified. Univariable and multivariable analyses were performed. p<0.05 was considered significant.
resultsWe identified 10,306 index admissions, with 447 (4.3%) early (within 30 days) readmissions. Mean ISS was 11.1 (SD 10.4). On multivariable analysis, African-American race (OR 1.3, p=0.009), pre-existing chronic obstructive pulmonary disease (COPD) (OR 1.5, p=0.02), and diabetes mellitus (OR 1.8, p<0.001) were associated with readmission, along with higher ISS (OR 1.01, p<0.001), ICU admission (OR 2.1, p<0.001), and increased LOS (OR 1.01, p<0.001). Among many in-hospital complications examined, only the development of surgical site infection (SSI) (OR 1.9, p=0.02) was associated with increased risk of readmission.
conclusionsTrauma patients have a low risk of readmission. In contrast to elective surgical patients, the only modifiable risk factor for readmission in our trauma population was SSI. Other risk factors may present clinicians with opportunities for targeted interventions, such as proactive follow up or early phone contact. With future changes to health care policy, clinicians may have even greater motivation to prevent readmission.
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Registered trials
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