Factors associated with avoidable 30-day readmissions in patients with cancer: a single institution study.

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Monica E Raiss, Krisha K Mehta, Xiaoyue Zhang, Andrea Kabacinski, Denise Martorana, Julia Mischo, Alison Stopeck, Grace N La Torre
{"title":"Factors associated with avoidable 30-day readmissions in patients with cancer: a single institution study.","authors":"Monica E Raiss, Krisha K Mehta, Xiaoyue Zhang, Andrea Kabacinski, Denise Martorana, Julia Mischo, Alison Stopeck, Grace N La Torre","doi":"10.1007/s00520-025-09215-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Unplanned readmissions have profound medical and financial implications for patients and hospitals. Cancer patients are particularly susceptible to readmission and often face complex care needs. This quality improvement project aimed to identify factors associated with avoidable hospitalizations among oncology patients.</p><p><strong>Methods: </strong>Hospital discharges of adult cancer patients at Stony Brook University Hospital (June 2021-July 2022) were reviewed to identify unplanned 30-day readmissions. Readmissions were categorized as avoidable or unavoidable. Factors analyzed included patient demographics, cancer characteristics, social factors, outpatient follow-up, and palliative care involvement.</p><p><strong>Results: </strong>Of the 468 hospitalized cancer patients, 96 (21%) were readmitted within 30 days of discharge. Most readmitted patients had stage IV disease (51%). Fifty-seven percent of patients were symptomatic on index admission compared to 100% on readmission. Pain was the most frequently reported symptom, increasing from 36 patients (38%) on index admission to 54 (56%) on readmission (p < 0.001). Notably, 16 patients (17%) were discharged on comfort-focused care and 11 (12%) died inpatient on readmission. Palliative care was consulted 2.3 times more frequently during readmission compared to index admission. Readmissions were determined to be avoidable for 27 patients (28%). A complaint of failure to thrive on readmission (p < 0.04), no identifiable post-discharge caretaker (p < 0.009), being symptomatic at index admission (p < 0.04), and not attending an outpatient visit prior to readmission (p < 0.05) were associated with avoidable readmissions.</p><p><strong>Conclusion: </strong>Timely outpatient support and early palliative care involvement to manage symptoms and optimize care transitions are readily addressable measures that may reduce avoidable readmissions among advanced-stage cancer patients.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 3","pages":"206"},"PeriodicalIF":2.8000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Supportive Care in Cancer","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00520-025-09215-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: Unplanned readmissions have profound medical and financial implications for patients and hospitals. Cancer patients are particularly susceptible to readmission and often face complex care needs. This quality improvement project aimed to identify factors associated with avoidable hospitalizations among oncology patients.

Methods: Hospital discharges of adult cancer patients at Stony Brook University Hospital (June 2021-July 2022) were reviewed to identify unplanned 30-day readmissions. Readmissions were categorized as avoidable or unavoidable. Factors analyzed included patient demographics, cancer characteristics, social factors, outpatient follow-up, and palliative care involvement.

Results: Of the 468 hospitalized cancer patients, 96 (21%) were readmitted within 30 days of discharge. Most readmitted patients had stage IV disease (51%). Fifty-seven percent of patients were symptomatic on index admission compared to 100% on readmission. Pain was the most frequently reported symptom, increasing from 36 patients (38%) on index admission to 54 (56%) on readmission (p < 0.001). Notably, 16 patients (17%) were discharged on comfort-focused care and 11 (12%) died inpatient on readmission. Palliative care was consulted 2.3 times more frequently during readmission compared to index admission. Readmissions were determined to be avoidable for 27 patients (28%). A complaint of failure to thrive on readmission (p < 0.04), no identifiable post-discharge caretaker (p < 0.009), being symptomatic at index admission (p < 0.04), and not attending an outpatient visit prior to readmission (p < 0.05) were associated with avoidable readmissions.

Conclusion: Timely outpatient support and early palliative care involvement to manage symptoms and optimize care transitions are readily addressable measures that may reduce avoidable readmissions among advanced-stage cancer patients.

求助全文
约1分钟内获得全文 求助全文
来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信