1. 90-Day Hospital Readmissions of Patients in a Geriatric Acute Care Ward in Singapore.
- Author
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Rachel Rui Qi Tan, Hui Jin Toh, Philip Lin Kiat Yap, Nana Jiao, and Wenru Wang
- Subjects
ELDER care ,CHI-squared test ,CONFIDENCE intervals ,CRITICAL care medicine ,STATISTICS ,SECONDARY analysis ,PATIENT readmissions ,DATA analysis software ,DESCRIPTIVE statistics ,TERTIARY care ,ODDS ratio ,MANN Whitney U Test - Abstract
The objective of the study is to examine the 90-day readmission rate and identify the predictors for 90-day readmissions at a geriatric ward in a tertia ry hospital in Singapore. A secondary analysis of case-control data was performed. Data of patients discharged from a geriatric ward between January 2 0 15 and January 2 0 16 were retrieved from an existing data set. Out of 564 index admissions involving older adults, the 90-day geriatric readmission rate was 10.1%. Activities of daily living dependency (odds ratio [O R]: 0.988, 95% confidence interval [Cl]: [0.978, 0.999]) and living with the spouse (OR: 2.988, 95% Cl: [1.388, 6.432]) were identified as significant predictors of 90-day geriatric readmissions. The study suggests that rehabilitation to restore the geriatric patient's ability to perform daily activities and adequate caregiver training fo r the spouse are essential in reducing geriatric readmissions. Also, postdischarge follow-up with both the patient and caregiver can greatly reduce the risk of readmission in geriatric patients. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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