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The truth about trauma readmissions.
- Source :
-
American journal of surgery [Am J Surg] 2016 Apr; Vol. 211 (4), pp. 649-55. Date of Electronic Publication: 2015 Dec 31. - Publication Year :
- 2016
-
Abstract
- Background: There is a paucity of data on the causes and associated patient factors for unplanned readmissions among trauma patients.<br />Methods: We examined patients admitted for traumatic injuries between 2007 and 2011 in the California State Inpatient Database. Using chi-square tests and multivariate logistic regression models, we determined rates, reasons, locations, and patient factors associated with 30-day readmissions.<br />Results: Among 252,752 trauma discharges, the overall readmission rate was 7.56%, with 36% of readmissions occurring at a hospital different from the hospital of initial admission. Predictors of readmissions included being discharged against medical advice (odds ratio [OR]: 2.56 [2.35 to 2.76]); Charlson scores ≥2 (OR: 2.00 [1.91 to 2.10]); and age ≥45 years (OR: 1.29 [1.25 to 1.33]). Major reasons for readmissions were musculoskeletal complaints (22.29%), psychiatric conditions (9.40%), and surgical infections (6.69%).<br />Conclusions: Health and social vulnerabilities influence readmission among trauma patients, with many readmitted at other hospitals. Targeted interventions among high-risk patients may reduce readmissions after traumatic injuries.<br /> (Copyright © 2016 Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1879-1883
- Volume :
- 211
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- American journal of surgery
- Publication Type :
- Academic Journal
- Accession number :
- 26822268
- Full Text :
- https://doi.org/10.1016/j.amjsurg.2015.09.018