Multiple risk factors for unplanned readmissions within 1 month of hospital discharge in acute care hospitals in Japan

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2024-01-13 DOI:10.1111/ijn.13235

Masako Tomita PhD, MN, RN, Kanako Murata PhD, MN, RN, Hiroko Suzuki PhD, MN, RN, Chieko Osaki PhD, MN, RN, Eri Matuki PhD, MN, RN, Kiiko Komatuzaki MN, RN, Yukie Ishihara MN, RN, Shoko Yoshihara MN, RN, Shima Sakai PhD, MN, RN

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引用次数: 0

Abstract

Aim

The aim of this study is to analyse the risk factors for unplanned readmissions within 1 month after hospital discharge to develop a seamless support system from discharge to home care.

Background

With shorter hospital stay lengths, understanding the characteristics of patients with multiple risk factors is important to prevent rehospitalization.

Design

This is a single-centre retrospective descriptive study.

Methods

Logistic regression and decision tree analyses were performed using eight items from the records of 3117 patients discharged from a university hospital between April–September 2017 as risk factors.

Results

Unplanned readmission risk was significantly associated with emergency hospitalization (odds ratio [OR]: 3.12, 95% confidence interval [CI]: 2.04–4.77), malignancy (OR: 2.16, 95% CI: 1.44–3.24), non-surgical admission (OR: 1.76, 95% CI: 1.07–2.88), hospital stay of ≥ 15 days (OR: 1.66, 95% CI: 1.14–2.43) and decline in activities of daily living owing to hospitalization (OR: 1.68, 95% CI: 1.06–2.64). The highest risk combinations for rehospitalization were as follows: emergency hospitalization and malignancy; emergency admission, non-malignancy and a hospital stay of ≥15 days; and scheduled hospitalization, no surgery and a hospital stay of ≥15 days.

Conclusions

Patients with multiple risks for unplanned readmission should be accurately screened and provided with optimal home care.

Abstract Image

查看原文本刊更多论文

日本急症医院出院后 1 个月内计划外再入院的多重风险因素。

目的：本研究旨在分析出院后 1 个月内发生意外再入院的风险因素，以建立从出院到家庭护理的无缝支持系统：背景：随着住院时间的缩短，了解具有多种风险因素的患者的特征对于预防再次住院非常重要：这是一项单中心回顾性描述性研究：以2017年4月至9月期间一家大学医院3117名出院患者记录中的8个项目作为风险因素，进行了逻辑回归和决策树分析：非计划再入院风险与急诊住院（几率比[OR]：3.12，95%置信区间[CI]：2.04-4.77）、恶性肿瘤（OR：2.16，95%CI：1.44-3.24）、非手术入院（OR：1.76，95% CI：1.07-2.88）、住院时间≥15 天（OR：1.66，95% CI：1.14-2.43）和住院导致日常生活能力下降（OR：1.68，95% CI：1.06-2.64）。再次住院的最高风险组合如下：急诊住院和恶性肿瘤；急诊入院、非恶性肿瘤和住院时间≥15天；计划住院、无手术和住院时间≥15天：应准确筛查有多种意外再入院风险的患者，并为其提供最佳的家庭护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.