Observational studyPloS one2020
Preventability of unplanned readmissions within 30 days of discharge. A cross-sectional, single-center study.
Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis 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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Assessment tools addressing avoidable care transitions in older adults: a systematic literature review.European geriatric medicine · 2024Pooled it
- Predictive models for ICU patient readmission based on machine learning: A systematic review.Journal of the Intensive Care Society · 2026Article
- Article
- A probabilistic approach to enhance the efficiency of case finding in hospital quality management: A case study using readmissions.PloS one · 2026Article
- The role of continuous monitoring in acute-care settings for predicting all-cause 30-day hospital readmission: A pilot study.Heliyon · 2025Article
- Validity of different algorithmic methods to identify hospital readmissions from routinely coded medical data.Journal of hospital medicine · 2024Article
- Article
- Evaluating machine learning algorithms to Predict 30-day Unplanned REadmission (PURE) in Urology patients.BMC medical informatics and decision making · 2023Article
- Facilitating the transfer of care from secondary to primary care: a scoping review to understand the role of pharmacists in general practice.International journal of clinical pharmacy · 2023Article
- Avoidable Care Transitions: A Consensus-Based Definition Using a Delphi Technique.Innovation in aging · 2023Article
- Medication-Related Readmissions: Documentation of the Medication Involved and Communication in the Care Continuum.Frontiers in pharmacology · 2022Article
- Decision support through risk cost estimation in 30-day hospital unplanned readmission.PloS one · 2022Article
- Clinical characteristics and risk factors of preventable hospital readmissions within 30 days.Scientific reports · 2021Observational
- Medication-Related Hospital Readmissions Within 30 Days of Discharge: Prevalence, Preventability, Type of Medication Errors and Risk Factors.Frontiers in pharmacology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify the preventability, determinants and causes of unplanned hospital readmissions within 30 days of discharge using a multidisciplinary approach and including patients' perspectives.
designA prospective cross-sectional single-center study.
settingUrban teaching hospital in Amsterdam, the Netherlands.
participants430 patients were included. Inclusion criteria were: age ≥ 18 years, discharged from one of seven participating clinical departments and an unplanned readmission within 30 days.
methodsResidents from the participating departments individually assessed whether the readmission was caused by healthcare, the preventability and possible causes of readmissions using a tool. Thereafter, the preventability of the cases was discussed in a multidisciplinary meeting with residents of all participating departments and clinical pharmacists. The primary outcome was the proportion of readmissions that were potentially preventable. Secondary outcomes were the determinants for a readmission, causes for preventable readmissions, the change in the final decision on preventability after the multidisciplinary meeting and the value of patient interviews in assessing preventability. Differences in characteristics of potentially preventable readmissions (PPRs) and non-PPRs were analyzed using multivariable logistic regression.
resultsOf 430 readmissions, 56 (13%) were assessed as PPRs. Age was significantly associated with a PPR (adjusted OR: 2.42; 95%, CI 1.23-4.74; p = 0.01). The main causes for PPRs were diagnostic (30%), medication (27%) and management problems (27%). During the multidisciplinary meeting, the final decision on preventability changed in 11% of the cases. When a patient interview was available, it was used as a source of information to assess preventability in 26% of readmissions. In 7% of cases, the patient interview was mentioned as the most important source. CONCLUSION AND IMPLICATIONS: 13% of readmissions were potentially preventable with diagnostic, medication or management problems being main causes. A multidisciplinary review approach and including the patient's perspective could contribute to a better understanding of the complexity of readmissions and possible improvements.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.