Summaries from ACP Hospitalist Weekly. Excess readmission ratio (ERR), the performance measure used by CMS as part of its Hospital Readmissions Reduction Program, is not associated with improved care quality or ... participated in the first cycle of the
These findings do not support increasing postdischarge mortality related to reducing hospital readmissions,” the authors wrote. ... The results also suggest that preventing deaths in patients with severe illness does not necessarily contribute to high
The hospitals were divided into quartiles based on follow-up rates; those results were then compared with rates of readmission within 30 days. ... In the quartile of hospitals with the worst follow-up rates, the readmission rate was 23.3% in 30 days,
and subsequent increased hospital readmission rates are associated with migraine in surgical patients. ... Hospital readmission within 30 days of surgery was the secondary outcome, and postdischarge stroke and neuroanatomical stroke location were
The risk of 30-day readmissions for noncardiovascular causes was more linear, increasing with longer length of stay. ... Penalties for readmissions are unable to control for all these factors, according to the editorialists.
A nurse-delivered three-month postdischarge program for patients with chronic obstructive pulmonary disease (COPD) included transition support, training in self-management techniques, and help with access to outpatient services.
Over the whole period, 36% of 30-day readmissions occurred within a week of discharge. ... MI was the cause of only 8% of the readmissions, while 38% of them were for a noncardiovascular cause.
Higher rates of readmission and death were seen in abdominal surgery patients deemed “vulnerable” by a frailty scale, as well as those meeting the full criteria for frailty. ... At six months postdischarge, an independent and dose-dependent
Patients with heart failure with reduced ejection fraction who were taking digoxin before hospitalization had higher short-term mortality and long-term readmission risk if the drug was discontinued at discharge. ... or all-cause readmission (HR, 1.03; 95%
Different factors may be associated with increased risk of hospital readmission within 7 days or within 30 days, a recent study found. ... learning. The study also found that early readmissions were less likely in patients discharged between 8 a.m.