PURPOSE For patients with acute respiratory failure due to lung edema or atelectasis, Surplus lung water that is not removed during an initial stay in the Intensive Care Unit (ICU) may be related to early ICU readmission. Therefore, we performed a retrospective study of patient management during the first ICU stay for such patients. MATERIALS AND METHODS Of 1,835 patients who were admitted to...

In a random sample of Medicare beneficiaries, multiple logistic regression was used to examine clinical, sociodemographic, and insurance coverage risk factors for readmission within 60 days of discharge. The patients most likely to be readmitted were those with poor health status or with chronic diseases and those who had not had surgery. Age, marital status, living situation, and having insura...

CONTEXT ST-segment elevation myocardial infarction (STEMI) treatment has improved outcomes and shortened hospital stay. Recently, 30-day readmission rates have been proposed as a metric for care of patients with STEMI. However, international rates and predictors of 30-day readmission after STEMI have not been studied. OBJECTIVE To determine international variation in and predictors of 30-day ...

Background. Patients with cIAI may be at increased risk of poor health outcomes post-hospital discharge. Our objective was to quantify the association between cIAI and 30-day hospital readmission. Methods. This was a retrospective cohort study of adult patients (age >18 years) with cIAI admitted to Oregon Health and Science University (OHSU) between January 1, 2010–June 30, 2013. Included patie...

BACKGROUND AND OBJECTIVES Over 35% of patients on maintenance dialysis are readmitted to the hospital within 30 days of hospital discharge. Outpatient dialysis facilities often assume responsibility for readmission prevention. Hospital care and discharge practices may increase readmission risk. We undertook this study to elucidate risk factors identifiable from hospital-derived data for 30-day ...

RATIONALE Congenital diaphragmatic hernia (CDH) is associated with a high incidence of respiratory problems, even after initial hospital discharge. These problems are likely to lead to re-hospitalization during infancy, although actual frequency of readmissions is unknown. OBJECTIVE We aimed to determine the rate of hospitalization for wheezing in infants with CDH between the time of initial ...

OBJECTIVES To quantify the risk of 30-day unplanned hospital readmission in adults aged 65 and older with depressive symptoms. DESIGN Prospective cohort study. SETTING University of Maryland Medical Center. PARTICIPANTS Individuals aged 65 and older admitted between July 1, 2011, and August 9, 2012, to the general medical and surgical units and followed for 31 days after hospital discharg...

BACKGROUND Reducing hospital readmissions is a key component of reforms for stroke care. Current readmission prediction models lack accuracy and are limited by data being from only acute hospitalizations. We hypothesized that patient-level factors from a nationwide post-acute care database would improve prediction modeling. METHODS AND RESULTS Medicare inpatient claims for the year 2008 that ...

BACKGROUND Identifying patients at high risk for readmission early during hospitalization may aid efforts in reducing readmissions. We sought to develop an early readmission risk predictive model using automated clinical data available at hospital admission. METHODS We developed an early readmission risk model using a derivation cohort and validated the model with a validation cohort. We used...