ArticleHIV medicine2016
Thirty-day hospital readmissions for adults with and without HIV infection.
Article in HIV medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Outcomes of people living with HIV after hospital discharge: a systematic review and meta-analysis.The lancet. HIV · 2022Pooled it
- Causes of hospitalization among people living with HIV in a tertiary-care hospital in Bogotá, Colombia, 2018-2024.PloS one · 2026Article
- Thirty-Day Readmission Risk Among Adults Hospitalized for Heart Failure or Acute Myocardial Infarction With and Without HIV.Open forum infectious diseases · 2025Article
- Article
- Healthcare-associated infection and unfavourable outcomes during a one-year follow-up after discharge: a single-center study.International journal of occupational medicine and environmental health · 2025Article
- Hospital readmissions among adults living with and without HIV in the US: findings from the Nationwide Readmissions Database.EClinicalMedicine · 2024Article
- Hospital Readmissions Among Persons With Human Immunodeficiency Virus in the United States and Canada, 2005-2018: A Collaboration of Cohort Studies.The Journal of infectious diseases · 2023Article
- Article
- Hospitalization Rates and Outcomes Among Persons Living With Human Immunodeficiency Virus in the Southeastern United States, 1996-2016.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020Article
- Impact of Pharmacist-Driven Antiretroviral Stewardship and Transitions of Care Interventions on Persons With Human Immunodeficiency Virus.Open forum infectious diseases · 2020Article
- Validation of an Optimized Algorithm for Identifying Persons Living With Diagnosed HIV From New York State Medicaid Data, 2006-2014.American journal of epidemiology · 2020Article
- COVID-19: What Is Next for Portugal?Frontiers in public health · 2020Article
- Risk of Readmission Among HIV Patients in Public Portuguese Hospitals: Longitudinal Multilevel Population-Based Study.Frontiers in public health · 2020Article
- The Importance of Improving the Quality of Care Among HIV/AIDS Hospitalizations in Portugal.Frontiers in public health · 2019Article
- Impact of Patient-Provider Attachment on Hospital Readmissions Among People Living With HIV: A Population-Based Study.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Treatment Complexities Among Patients with Tuberculosis in a High HIV Prevalence Cohort in the United States.AIDS research and human retroviruses · 2018Article
- Impact of comorbidity on the risk and cost of hospitalization in HIV-infected patients: real-world data from Abruzzo Region.ClinicoEconomics and outcomes research : CEOR · 2018Article
- Thirty-day Readmission Rates in an HIV-infected Cohort From Rio de Janeiro, Brazil.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Relationship between HIV serostatus, CD4 count and rehospitalisation: Potential implications for health systems strengthening in South Africa.Southern African journal of infectious diseases · 2017Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesRisk-adjusted 30-day hospital readmission rate is a commonly used benchmark for hospital quality of care and for Medicare reimbursement. Persons living with HIV (PLWH) may have high readmission rates. This study compared 30-day readmission rates by HIV status in a multi-state sample with planned subgroup comparisons by insurance and diagnostic categories.
methodsData for all acute care, nonmilitary hospitalizations in nine states in 2011 were obtained from the Healthcare Costs and Utilization Project. The primary outcome was readmission for any cause within 30 days of hospital discharge. Factors associated with readmission were evaluated using multivariate logistic regression.
resultsA total of 5 484 245 persons, including 33 556 (0.6%) PLWH, had a total of 6 441 695 index hospitalizations, including 45 382 (0.7%) among PLWH. Unadjusted readmission rates for hospitalizations of HIV-uninfected persons and PLWH were 11.2% [95% confidence interval (CI) 11.2, 11.2%] and 19.7% (95% CI 19.3, 20.0%), respectively. After adjustment for age, gender, race, insurance, and diagnostic category, HIV infection was associated with 1.50 (95% CI 1.46, 1.54) times higher odds of readmission. Predicted, adjusted readmission rates were higher for PLWH within every insurance category, including Medicaid [12.9% (95% CI 12.8, 13.0%) and 19.1% (95% CI 18.4, 19.7%) for HIV-uninfected persons and PLWH, respectively] and Medicare [13.2% (95% CI 13.1, 13.3%) and 18.0% (95% CI 17.4, 18.7%), respectively], and within every diagnostic category.
conclusionsHIV infection is associated with significantly increased readmission risk independent of demographics, insurance, and diagnostic category. The 19.7% 30-day readmission rate may serve as a preliminary benchmark for assessing quality of care of PLWH. Policy-makers may consider adjusting for HIV infection when calculating a hospital's expected readmission rate.
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