ArticlePloS one2021
Medication-related hospital readmissions within 30 days of discharge-A retrospective study of risk factors in older adults.
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 14 papers.
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Who cites it
14 citing papers in PubMed, 34 citations in OpenAlex.
- Enhancing patient participation in discharge medication communication: a feasibility pilot trial.BMJ open · 2024Trial
- The impact of discharge letter content on unplanned hospital readmissions within 30 and 90 days in older adults with chronic illness - a mixed methods study.BMC geriatrics · 2024Trial
- The Association Between a Risk Assessment-Based Medication Safety Checklist and 90-Day Readmission Among Residents of Long-Term Care Institutions: A Pilot Quasi-Experimental Study.Journal of evaluation in clinical practice · 2026Article
- Development and validation of the Patient Involvement in Medication Communication at Hospital discharge Questionnaire (PIMCH-Q).Journal of patient-reported outcomes · 2026Article
- Use of medications with pharmacogenomic guidelines and adverse outcomes in hospitalised older patients: a retrospective cross-sectional study.The pharmacogenomics journal · 2026Article
- Policy interventions for improving hospital-to-home transitions of care for older adults and informal caregivers: a qualitative study.Israel journal of health policy research · 2025Article
- Exploring the Learning Needs for Discharge Planning Among Postoperative Orthopedic Patients: A Scoping Review.Patient preference and adherence · 2025Review
- Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and Outcomes.Journal of multidisciplinary healthcare · 2025Review
- Article
- Risk factors for medication-related short-term readmissions in adults - a scoping review.BMC health services research · 2023Article
- Article
- Prevalence and clinical implications of polypharmacy and potentially inappropriate medication in elderly patients with heart failure: results of six months' follow-up.Journal of geriatric cardiology : JGC · 2023Article
- A Participatory Sensing Study to Understand the Problems Older Adults Faced in Developing Medication-Taking Habits.Healthcare (Basel, Switzerland) · 2022Article
- The Association Between Medication Non-Adherence and Early and Late Readmission Rates for Patients with Acute Coronary Syndrome.International journal of general medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious studies have shown that approximately 20% of hospital readmissions can be medication-related and 70% of these readmissions are possibly preventable. This retrospective medical records study aimed to find risk factors associated with medication-related readmissions to hospital within 30 days of discharge in older adults (≥65 years).
methods30-day readmissions (n = 360) were assessed as being either possibly or unlikely medication-related after which selected variables were used to individually compare the two groups to a comparison group (n = 360). The aim was to find individual risk factors of possibly medication-related readmissions focusing on living arrangements, polypharmacy, potentially inappropriate medication therapy, and changes made to medication regimens at initial discharge.
resultsA total of 143 of the 360 readmissions (40%) were assessed as being possibly medication-related. Charlson Comorbidity Index (OR 1.15, 95%CI 1.5-1.25), excessive polypharmacy (OR 1.74, 95%CI 1.07-2.81), having adjustments made to medication dosages at initial discharge (OR 1.63, 95%CI 1.03-2.58) and living in your own home, alone, were variables identified as risk factors of such readmissions. Living in your own home, alone, increased the odds of a possibly medication-related readmission 1.69 times compared to living in your own home with someone (p-value 0.025) and 2.22 times compared to living in a nursing home (p-value 0.037).
conclusionPossibly medication-related readmissions within 30 days of discharge, in patients 65 years and older, are common. The odds of such readmissions increase in comorbid, highly medicated patients living in their own home, alone, and if having medication dosages adjusted at initial discharge. These results indicate that care planning before discharge and the provision of help with, for example, managing medications after discharge, are factors especially important if aiming to reduce the amount of medication-related readmissions among this population. Further research is needed to confirm this hypothesis.
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