Observational studyEuropean journal of medical research2015
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.
Observational study in European journal of medical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- The broken care chain-report from a country with a low number of hospital beds.Frontiers in health services · 2025Article
- Acquisition of patients' EHR information under ED congestion - an empirical investigation.Health systems (Basingstoke, England) · 2025Review
- Higher levels of multimorbidity are associated with increased risk of readmission for older people during post-acute transitional care.European geriatric medicine · 2023Article
- Evaluation of a patient-centered integrated care program for individuals with frequent hospital readmissions and multimorbidity.Internal and emergency medicine · 2022Article
- Development and validation of an interpretable machine learning scoring tool for estimating time to emergency readmissions.EClinicalMedicine · 2022Article
- Investigating the geographic disparity in quality of care: the case of hospital readmission after acute myocardial infarction in Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Characterization of high healthcare utilizer groups using administrative data from an electronic medical record database.BMC health services research · 2019Article
- Usefulness of bounce-back admission in monitoring the quality of practice in the emergency department.Therapeutics and clinical risk management · 2019Article
- Infections and internal medicine patients: Could a comorbidity score predict in-hospital mortality?Medicine · 2018Observational
- Thrombocytopenia on the first day of emergency department visit predicts higher risk of acute kidney injury among elderly patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- Early rehospitalizations of frail elderly patients - the role of medications: a clinical, prospective, observational trial.Drug, healthcare and patient safety · 2017Article
- Unplanned readmissions in younger and older adult patients: the role of healthcare-related adverse events.European journal of medical research · 2016Article
- A novel organizational model to face the challenge of multimorbid elderly patients in an internal medicine setting: a case study from Parma Hospital, Italy.Internal and emergency medicine · 2016Article
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Authors and funding
10 authors.
Funding
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Abstract
backgroundEarly hospital readmissions, defined as rehospitalization within 30 days from a previous discharge, represent an economic and social burden for public health management. As data about early readmission in Italy are scarce, we aimed to relate the phenomenon of 30-day readmission to factors identified at the time of emergency department (ED) visits in subjects admitted to medical wards of a general hospital in Italy.
methodsWe performed a retrospective 30-month observational study, evaluating all patients admitted to the Department of Medicine of the Hospital of Ferrara, Italy. Our study compared early and late readmission: patients were evaluated on the basis of the ED admission diagnosis and classified differently on the basis of a concordant or discordant readmission diagnosis in respect to the diagnosis of a first hospitalization.
resultsOut of 13,237 patients admitted during the study period, 3,631 (27.4%) were readmitted; of those, 656 were 30-day rehospitalizations (5% of total admissions). Early rehospitalization occurred 12 days (median) later than previous discharge. The most frequent causes of rehospitalization were cardiovascular disease (CVD) in 29.3% and pulmonary disease (PD) in 29.7% of cases. Patients admitted with the same diagnosis were younger, had lower length of stay (LOS) and higher prevalence of CVD, PD and cancer. Age, CVD and PD were independently associated with 30-day readmission with concordant diagnosis and kidney disease with 30-day rehospitalization with a discordant diagnosis.
conclusionsComorbid patients are at higher risk for 30-day readmission. Reduction of LOS, especially in elderly subjects, could increase early rehospitalization rates.
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