Evidence map›Paper›PMID 40096974›Full record

ArticleSaudi medical journal2025

Hospital readmission after an acute admission to internal medicine: Causes and risk factors in a tertiary care center in Saudi Arabia.

Mutaz H Althobaiti, Khaled A Alkhowaiter, Duha K Alahmadi, Omar S Baharoon, Al-Zahraa S Almahlawi, Mohammed Alqahtani, Hamdan H Al-Jahdali, Jinan Z Shamou, Laila A Layqah, Salim A Baharoon

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Article in Saudi medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Mutaz H AlthobaitiFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.
Khaled A AlkhowaiterFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.
Duha K AlahmadiFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.
Omar S BaharoonFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.
Al-Zahraa S AlmahlawiFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.
Mohammed AlqahtaniFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.
Hamdan H Al-JahdaliFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.
Jinan Z ShamouFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.
Laila A LayqahFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.
Salim A BaharoonFrom the Department of Medicine (Althobaiti, Alkhowaiter, Alahmadi, Alqahtani, AL-Jahdali, Shamou, A. Baharoon); from the Department of Intensive Care (Almahlawi), King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), from the Department of Medicine (Alqahtani, AL-Jahdali, A. Baharoon), King Saud bin Abdul-Aziz University for Health Sciences, from the Ministry of National Guard-Health Affairs (Althobaiti, Alkhowaiter, Alahmadi, Almahlawi, Alqahtani, AL-Jahdali, Shamou, Layqah, A. Baharoon), and from the College of Medicine (S. Baharoon), Dar Al-Uloom University, Riyadh, Kingdom of Saudi Arabia.ORCID https://orcid.org/0000-0001-9277-4764

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the risk factors associated with single and multiple hospital readmissions within 30 days of discharge.

methodsA retrospective study carried out during 2019 at King Abdulaziz Medical City in Riyadh, Saudi Arabia. Using simple random sampling with an estimated prevalence of readmission rates between 10-20%, the calculated sample size was 200 patients. Patients were classified into 2 categories: patients with single or multiple readmissions. For comparison of categorical variables, the Chi-square test and Fisher's exact test were employed as relevant. Means comparisons were carried out using independent samples t-test. Multivariate logistic regression analysis was implemented to identify factors associated with multiple readmissions.

resultsThe rate of readmission in hospital patients was 10.18%. A significant burden of comorbidities was observed with diabetes, hypertension, and heart failure being the most prevalent diseases. Multiple readmissions were observed in 18% of the total readmissions, predominantly for conditions related to the initial hospitalization. Age (odds ratio [OR]=1.057, 95% confidence interval [CI]: [1.005-1.108];

conclusionWe found a high burden of comorbidities among patients requiring multiple readmissions. Older age, heart failure and ejection fraction, stroke, and depression were identified as risk factors for multiple readmissions. With interventions tailored to at-risk populations, we hypothesize that better utilization of available resources is achievable to reduce readmissions.

Indexed as

Internal MedicinePatient ReadmissionTertiary Care CentersAdultAgedAge FactorsComorbidityDepressionFemaleHeart FailureHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSaudi Arabiaacute diseasehospital readmissioninternal medicineSaudi Arabia

Identifiers

PMID40096974
PMCPMC11918675

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