ArticleEmergency medicine journal : EMJ2015
Classifying emergency 30-day readmissions in England using routine hospital data 2004-2010: what is the scope for reduction?
Article in Emergency medicine journal : EMJ, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02621723 (Capturing Readmission Internationally to Prevent Readmission by Safer@Home), which is not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.
What it found
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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.
The trial behind it
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.
Capturing Readmission Internationally to Prevent Readmission by Safer@Home
Who cites it
43 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Towards a patient journey perspective on causes of unplanned readmissions using a classification framework: results of a systematic review with narrative synthesis.BMC medical research methodology · 2019Pooled it
- Effectiveness of interventions utilising telephone follow up in reducing hospital readmission within 30 days for individuals with chronic disease: a systematic review.BMC health services research · 2016Pooled it
- Trial
- Unplanned readmission prevention by a geriatric emergency network for transitional care (URGENT): a prospective before-after study.BMC geriatrics · 2019Trial
- The Copenhagen Triage Algorithm: a randomized controlled trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016Trial
- Up in Smoking-Can Smoking Cessation Reduce the Risk of Foregut Hemorrhage in Inpatients?Digestive diseases and sciences · 2026Article
- Factors influencing 30-day readmission rate and return to theatre rate due to surgical causes following primary total hip arthroplasty.Journal of clinical orthopaedics and trauma · 2025Article
- Predictors of 30-day readmission among those treated with alcohol withdrawal in acute hospitals in England.Alcohol and alcoholism (Oxford, Oxfordshire) · 2025Article
- The impact of pay-for-performance incentives for stroke unit access on public hospital costs and use, Queensland, 2012-17: interrupted time series analysis.The Medical journal of Australia · 2025Article
- Emergency room readmission, an avoidable problem? Analysis and stratification of readmissions in a trauma reference center.Revista do Colegio Brasileiro de Cirurgioes · 2024Article
- Article
- Medical Admission Prediction Score (MAPS); a simple tool to predict medical admissions in the emergency department.PloS one · 2023Article
- A qualitative formative evaluation of a patient facing intervention to improve care transitions for older people moving from hospital to home.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Development and validation of an interpretable machine learning scoring tool for estimating time to emergency readmissions.EClinicalMedicine · 2022Article
- 180-day readmission risk model for older adults with acute myocardial infarction: the SILVER-AMI study.Open heart · 2021Article
- Unplanned return presentations of older patients to the emergency department: a root cause analysis.BMC geriatrics · 2020Observational
- Delivering exceptionally safe transitions of care to older people: a qualitative study of multidisciplinary staff perspectives.BMC health services research · 2020Article
- Smoking and Obesity are Risk Factors for Thirty-Day Readmissions Following Skull Base Surgery.Journal of neurological surgery. Part B, Skull base · 2020Article
- Rates, causes, and types of readmissions after total joint arthroplasty.Turkish journal of physical medicine and rehabilitation · 2020Article
- Improving patient experience and safety at transitions of care through the Your Care Needs You (YCNY) intervention: a study protocol for a cluster randomised controlled feasibility trial.Pilot and feasibility studies · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundMany health systems across the globe have introduced arrangements to deny payment for patients readmitted to hospital as an emergency. The purpose of this study was to develop an exploratory categorisation based on likely causes of readmission, and then to assess the prevalence of these different types.
methodsRetrospective analysis of 82 million routinely collected National Health Service hospital records in England (2004-2010) was undertaken using anonymised linkage of records at person-level. Numbers of 30-day readmissions were calculated. Exploratory categorisation of readmissions was applied using simple rules relating to International Classification of Diseases (ICD) diagnostic codes for both admission and readmission.
resultsThere were 5 804 472 emergency 30-day readmissions over a 6-year period, equivalent to 7.0% of hospital discharges. Readmissions were grouped into hierarchically exclusive categories: potentially preventable readmission (1 739 519 (30.0% of readmissions)); anticipated but unpredictable readmission (patients with chronic disease or likely to need long-term care; 1 141 987 (19.7%)); preference-related readmission (53 718 (0.9%)); artefact of data collection (16 062 (0.3%)); readmission as a result of accident, coincidence or related to a different body system (1 101 818 (19.0%)); broadly related readmission (readmission related to the same body system (1 751 368 (30.2%)).
conclusionsIn this exploratory categorisation, a large minority of emergency readmissions (eg, those that are potentially preventable or due to data artefacts) fell into groups potentially amenable to immediate reduction. For other categories, a hospital's ability to reduce emergency readmission is less clear. Reduction strategies and payment incentives must be carefully tailored to achieve stated aims.
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