CONTEXT Surgical treatment for proximal humerus fractures has increased exponentially. Recent health care policies incentivize centers to reduce hospital readmission rates. Better understanding of risk factors for readmission and early mortality in this population will assist in identifying favorable risk-benefit patient profiles. OBJECTIVE To identify incidence and risk factors of 30-day hos...

BACKGROUND AND PURPOSE The Centers for Medicare and Medicaid Services proposes to use 30-day hospital readmissions after ischemic stroke as part of the Hospital Inpatient Quality Reporting Program for payment determination beginning in 2016. The proportion of poststroke readmissions that is potentially preventable is unknown. METHODS Thirty-day readmissions for all Medicare fee-for-service be...

In a retrospective review by Hannan et al. (1) in this issue of JACC: Cardiovascular Interventions, 30-day readmission rates for percutaneous coronary intervention (PCI) patients were analyzed using both clinical and administrative datasets to determine overall readmission rates, planned or staged readmissions, and a determination of predictors for unstaged readmissions. The 30-day readmission ...

OBJECTIVES To compare the quality of care-using unplanned acute hospital readmissions as a quality measure-among patients treated at private for-profit hospitals (PFPs), private non-profit hospitals (PNPs) and public hospitals (PUBs) in Norway. DESIGN A retrospective comparative study using the Norwegian Patient Register. Readmissions were evaluated by logistic regressions both using adjustme...

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 ...

INTRODUCTION interventions to prevent hospital readmission depend on the identification of patients at risk. The LACE index predicts readmission (and death) and is in clinical use internationally. The LACE index was investigated in an older UK population. METHODS randomly selected alive-discharge episodes were reviewed. A LACE score was calculated for each patient and assessed using receiver ...

PURPOSE/OBJECTIVES To identify potential factors that place patients with cancer at risk for unplanned readmissions after discharge from the hospital. DESIGN Retrospective, descriptive, medical record review. SETTING A National Cancer Institute-designated comprehensive cancer center in an urban area of the Northeastern United States. SAMPLE 78 patients were selected from those readmitted ...

BACKGROUND The Patient Protection and Affordable Care Act established the Hospital Readmission Reduction Program (HRRP) to penalize hospitals with excessive 30-day hospital readmissions of Medicare enrollees for specific conditions. This policy was aimed at increasing the quality of care delivered to patients and decreasing the amount of money paid for potentially preventable hospital readmissi...

BACKGROUND Although hospital 30-day readmissions policies currently focus on medical conditions, readmission penalties will be expanding to encompass surgical procedures, logically beginning with common and standardized procedures, such as gastric bypass. Therefore, understanding predictors of readmission is essential in lowering readmission rate for these procedures. STUDY DESIGN This is a r...

BACKGROUND Hospital patient-to-nurse staffing ratios are associated with quality outcomes in adult patient populations but little is known about how these factors affect paediatric care. We examined the relationship between staffing ratios and all-cause readmission (within 14 days, 15-30 days) among children admitted for common medical and surgical conditions. METHODS We conducted an observat...