ArticlePloS one2021
Disease-dependent variations in the timing and causes of readmissions in Germany: A claims data analysis for six different conditions.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Interventions to reduce hospital readmission rates in patients with COPD: a systematic review].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Pooled it
- Orthogeriatric co-management and risk of rehospitalization in older patients with osteoporotic fractures: a retrospective cohort study from Germany.BMC geriatrics · 2025Article
- Implementation of a Faith Community Nursing Transition of Care Program in the USA: A Propensity Score Matching Analysis.Journal of religion and health · 2025Article
- Coping difficulties after inpatient hospital treatment: validity and reliability of the German version of the post-discharge coping difficulty scale.Journal of patient-reported outcomes · 2024Article
- Identifying Predictors of Heart Failure Readmission in Patients From a Statutory Health Insurance Database: Retrospective Machine Learning Study.JMIR cardio · 2024Article
- Treatment Patterns, Outcomes, and Persistence to Newly Started Heart Failure Medications in Patients with Worsening Heart Failure: A Cohort Study from the United States and Germany.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024Article
- Designing and Implementation of a Digitalized Intersectoral Discharge Management System and Its Effect on Readmissions: Mixed Methods Approach.Journal of medical Internet research · 2024Article
- Association between Metabolic Obesity Phenotypes and the Burden of Hospitalized Postmenopausal Patients Concomitant with Osteoporosis: A Retrospective Cohort Study Based on the National Readmission Database.Journal of clinical medicine · 2023Article
- A prediction model for nonpersistence or nonadherence to direct oral anticoagulants in hospitalized patients with atrial fibrillation.Journal of managed care & specialty pharmacy · 2022Article
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Authors and funding
7 authors.
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Abstract
backgroundHospital readmissions place a major burden on patients and health care systems worldwide, but little is known about patterns and timing of readmissions in Germany.
methodsWe used German health insurance claims (AOK, 2011-2016) of patients ≥ 65 years hospitalized for acute myocardial infarction (AMI), heart failure (HF), a composite of stroke, transient ischemic attack, or atrial fibrillation (S/AF), chronic obstructive pulmonary disease (COPD), type 2 diabetes mellitus, or osteoporosis to identify hospital readmissions within 30 or 90 days. Readmissions were classified into all-cause, specific, and non-specific and their characteristics were analyzed.
resultsWithin 30 and 90 days, about 14-22% and 27-41% index admissions were readmitted for any reason, respectively. HF and S/AF contributed most index cases, and HF and COPD accounted for most all-cause readmissions. Distributions and ratios of specific to non-specific readmissions were disease-specific with highest specific readmissions rates among COPD and AMI.
conclusionGerman claims are well-suited to investigate readmission causes if longer periods than 30 days are evaluated. Conditions closely related with the primary disease are the most frequent readmission causes, but multiple comorbidities among readmitted cases suggest that a multidisciplinary care approach should be implemented vigorously addressing comorbidities already during the index hospitalization.
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