Risk factors for 30‐day readmission in general medical patients admitted from the emergency department: a single centre study

Background:  Overcrowding in emergency departments (ED) around the world is an increasingly serious problem with an adverse impact on both patient flow and patient outcomes. A significant contributing factor to ED overcrowding is possibly due to readmission. Risk factors for readmission in patients admitted from ED are rarely studied, particularly in Asian countries where the length of stay is reportedly longer.

[1]  C. Niu,et al.  Complicated parapneumonic effusion and empyema in children. , 2006, Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi.

[2]  S. M. Wang,et al.  ED overcrowding in Taiwan: facts and strategies. , 1999, The American journal of emergency medicine.

[3]  Ruth M Kleinpell,et al.  Integrating Telehealth as a Strategy for Patient Management After Discharge for Cardiac Surgery: Results of a Pilot Study , 2007, The Journal of cardiovascular nursing.

[4]  J. Hallas,et al.  Nurse tele‐consultations with discharged COPD patients reduce early readmissions – an interventional study , 2011, The clinical respiratory journal.

[5]  S. Lee,et al.  Factors associated with tocolytic hospitalizations in Taiwan : evidence from a population-based and longitudinal study from 1997 to 2004 , 2010 .

[6]  Chia-Te Kung,et al.  The use of Charlson comorbidity index for patients revisiting the emergency department within 72 hours. , 2007, Chang Gung medical journal.

[7]  P. Rochon,et al.  Interrater reliability of measurements of comorbid illness should be reported. , 2006, Journal of clinical epidemiology.

[8]  Ashesh B Jani,et al.  An electronic application for rapidly calculating Charlson comorbidity score , 2004, BMC Cancer.

[9]  R. Doughty,et al.  Investigation and management of congestive heart failure , 2010, British medical journal.

[10]  P. Austin,et al.  Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community , 2010, Canadian Medical Association Journal.

[11]  S. Kripalani,et al.  Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. , 2007, Journal of hospital medicine.

[12]  Factors affecting unplanned readmissions from community hospitals to acute hospitals: a prospective observational study. , 2009, Annals of the Academy of Medicine, Singapore.

[13]  Rance P. L. Lee,et al.  Community nursing services for postdischarge chronically ill patients. , 2008, Journal of clinical nursing.

[14]  A. Singer,et al.  Frequency of new or worsening symptoms in the posthospitalization period. , 2007, Journal of hospital medicine.

[15]  A. Bilbao,et al.  Predictors of short-term rehospitalization following discharge of patients hospitalized with community-acquired pneumonia. , 2009, Chest.

[16]  E. Rackow Rehospitalizations among patients in the Medicare fee-for-service program. , 2009, The New England journal of medicine.

[17]  Sung-joon Min,et al.  The care transitions intervention: results of a randomized controlled trial. , 2006, Archives of internal medicine.

[18]  F. Lee,et al.  Comparison of the model for end-stage liver disease (MELD), MELD-Na and MELDNa for outcome prediction in patients with acute decompensated hepatitis. , 2010, Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver.

[19]  T. Horiuchi,et al.  Efficacy of Corticosteroids in the Treatment of Community-Acquired Pneumonia Requiring Hospitalization , 2007, Lung.

[20]  T. Chiu,et al.  Why Taiwanese hospice patients want to stay in hospital: health-care professionals’ beliefs and solutions , 2004, Supportive Care in Cancer.

[21]  S Shepperd,et al.  Discharge planning from hospital to home. , 2000, The Cochrane database of systematic reviews.

[22]  Bonnie J. Wakefield,et al.  Evaluation of home telehealth following hospitalization for heart failure: a randomized trial. , 2008, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[23]  F. Martinez,et al.  Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. , 2007, American journal of respiratory and critical care medicine.

[24]  Ding‐Shinn Chen,et al.  Changing disease burden of hepatocellular carcinoma in the Far East and Southeast Asia , 2005, Liver international : official journal of the International Association for the Study of the Liver.

[25]  Che-Ming Yang,et al.  Feasibility and validity of International Classification of Diseases based case mix indices , 2006, BMC Health Services Research.

[26]  Tosha B. Wetterneck,et al.  Hospital Readmission in General Medicine Patients: A Prediction Model , 2009, Journal of General Internal Medicine.

[27]  C. Wen,et al.  A 10-Year Experience with Universal Health Insurance in Taiwan: Measuring Changes in Health and Health Disparity , 2008, Annals of Internal Medicine.

[28]  L. Lind,et al.  Charlson Comorbidity Index can add prognostic information to Rapid Emergency Medicine Score as a predictor of long-term mortality , 2005, European journal of emergency medicine : official journal of the European Society for Emergency Medicine.

[29]  P. O S I T I O N S T A T E M E N T,et al.  Diagnosis and Classification of Diabetes Mellitus , 2011, Diabetes Care.

[30]  John B. Young,et al.  Reliability of the Barthel Index when used with older people. , 2005, Age and ageing.

[31]  G. Alroy,et al.  Telephone follow-up improves patients satisfaction following hospital discharge. , 2009, European journal of internal medicine.

[32]  P. Donnan,et al.  Development and validation of a model for predicting emergency admissions over the next year (PEONY): a UK historical cohort study. , 2008, Archives of internal medicine.

[33]  A. Levey,et al.  A More Accurate Method To Estimate Glomerular Filtration Rate from Serum Creatinine: A New Prediction Equation , 1999, Annals of Internal Medicine.