ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2015
Impact of Hospital Population Case-Mix, Including Poverty, on Hospital All-Cause and Infection-Related 30-Day Readmission Rates.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Telehealth electronic monitoring to reduce postdischarge complications and surgical site infections after arterial revascularization with groin incision.Journal of vascular surgery · 2017Trial
- Predictors and Outcomes of 30-Day Readmissions Following Electrical Cardioversion for Atrial Fibrillation: Insights From the Nationwide Readmissions Database.Journal of arrhythmia · 2026Article
- Impact of pay-for-performance on hospital readmissions in Lebanon: an ARIMA-based intervention analysis using routine data.BMC health services research · 2024Article
- [Discharge management strategies in German general hospitals : A nationwide survey of professionals responsible for clinical risk management].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- Association of hospital and market characteristics with 30-day readmission rates from 2009 to 2015.SAGE open medicine · 2024Article
- Disease Severity and Risk Factors of 30-Day Hospital Readmission in Pediatric Hospitalizations for Pneumonia.Journal of clinical medicine · 2022Article
- Dimensions of poverty as risk factors for antimicrobial resistant organisms in Canada: a structured narrative review.Antimicrobial resistance and infection control · 2022Review
- Socioeconomic correlates of face mask use among pedestrians during the COVID-19 pandemic: An ecological study.Frontiers in public health · 2022Article
- Clostridium difficile: Diagnosis and the Consequence of Over Diagnosis.Infectious diseases and therapy · 2021Review
- Malnutrition and depression as predictors for 30-day unplanned readmission in older patient: a prospective cohort study to develop 7-point scoring system.BMC geriatrics · 2021Article
- Potential of community-based risk estimates for improving hospital performance measures and discharge planning.BMJ open quality · 2021Article
- Association of Stratification by Proportion of Patients Dually Enrolled in Medicare and Medicaid With Financial Penalties in the Hospital-Acquired Condition Reduction Program.JAMA internal medicine · 2021Article
- Pre-operative withholding of infliximab and the risk of infections after major surgery in patients with rheumatoid arthritis.Rheumatology (Oxford, England) · 2020Article
- Social Determinants of COVID-19 in Massachusetts, United States: An Ecological Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2020Article
- One Health in hospitals: how understanding the dynamics of people, animals, and the hospital built-environment can be used to better inform interventions for antimicrobial-resistant gram-positive infections.Antimicrobial resistance and infection control · 2020Review
- Reliability of the American Community Survey Estimates of Risk-Adjusted Readmission Rankings for Hospitals Before and After Peer Group Stratification.JAMA network open · 2019Article
- Associations Between Social Risk Factors and Surgical Site Infections After Colectomy and Abdominal Hysterectomy.JAMA network open · 2019Article
- Differential Impact of Hospital and Community Factors on Medicare Readmission Penalties.Health services research · 2018Article
- Avoidable readmissions seem to be reduced by early follow-up visits for geriatric patients discharged from hospital.European geriatric medicine · 2018Article
- Readmissions With Multidrug-Resistant Infection in Patients With Prior Multidrug Resistant Infection.Infection control and hospital epidemiology · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundReducing hospital readmissions, including preventable healthcare-associated infections, is a national priority. The proportion of readmissions due to infections is not well-understood. Better understanding of hospital risk factors for readmissions and infection-related readmissions may help optimize interventions to prevent readmissions.
methodsRetrospective cohort study of California acute care hospitals and their patient populations discharged between 2009 and 2011. Demographics, comorbidities, and socioeconomic status were entered into a hierarchical generalized linear mixed model predicting all-cause and infection-related readmissions. Crude verses adjusted hospital rankings were compared using Cohen's kappa.
resultsWe assessed 30-day readmission rates from 323 hospitals, accounting for 213 879 194 post-discharge person-days of follow-up. Infection-related readmissions represented 28% of all readmissions and were associated with discharging a high proportion of patients to skilled nursing facilities. Hospitals serving populations with high proportions of males, comorbidities, prolonged length of stay, and populations living in a federal poverty area, had higher all-cause and infection-related readmission rates. Academic hospitals had higher all-cause and infection-related readmission rates (odds ratio 1.24 and 1.15, respectively). When comparing adjusted vs crude hospital rankings for infection-related readmission rates, adjustment revealed 31% of hospitals changed performance category for infection-related readmissions.
conclusionsInfection-related readmissions accounted for nearly 30% of all-cause readmissions. High hospital infection-related readmissions were associated with serving a high proportion of patients with comorbidities, long lengths of stay, discharge to skilled nursing facility, and those living in federal poverty areas. Preventability of these infections needs to be assessed.
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