BACKGROUND Comorbidity between mental and physical disorder conditions is the rule rather than the exception. It is estimated that 25% of adult population have mental health condition and 68% of them suffer from comorbid medical condition. Readmission rates in psychiatric patients are high and we still lack understanding potential predictors of recidivism. Physical comorbidity could be one of i...

Frailty is associated with poor quality outcomes. To examine associations between frailty and hospital readmission or mortality in Coronary Heart Disease (CHD). Retrospectively assessed the 2016 US Nationwide Readmissions Database (NRD) including adults ≥ 65 years pre-existing CHD. A validated Hospital Risk Score (HFRS) using ICD-10-CM codes identified risk. Outcomes included: Readmission (30-d...

BACKGROUND The risk of rehospitalization is elevated in the immediate post-discharge period and declines over time. It is not known if the extent and timing of risk vary across readmission diagnoses, suggesting that recovery and vulnerability after discharge differ by physiologic system. OBJECTIVE We compared risk trajectories for major readmission diagnoses in the year after discharge among ...

OBJECTIVE Hypoglycemia is a serious complication of diabetes treatment. This retrospective observational study characterized hypoglycemia-related hospital emergency room (ER) and inpatient (in-pt) admissions and identified risk factors for 30-day all-cause and hypoglycemia-related readmission. RESEARCH DESIGN AND METHODS 4476 hypoglycemia-related ER and in-pt encounters with discharge dates f...

BACKGROUND The proposed Centers for Medicare & Medicaid Services (CMS) 30-day readmission risk standardization models for inpatient rehabilitation facilities establish readmission risk for patients at admission based on a limited set of core variables. Considering functional recovery during the rehabilitation stay may help clinicians further stratify patient groups at high risk for hospital rea...

BACKGROUND Management of inpatients with inflammatory bowel disease (IBD) requires increasing resources. We aimed to identify factors associated with hospital readmissions among individuals with IBD. MATERIALS & METHODS We collected data from the Healthcare Cost and Utilization Project Nationwide Readmissions Database 2013. We identified individuals with index hospitalizations for IBD. Patien...

OBJECTIVES This study sought to examine the long-term outcomes of patients hospitalized with heart failure and atrial fibrillation. BACKGROUND Atrial fibrillation is common among patients hospitalized with heart failure. Associations of pre-existing and new-onset atrial fibrillation with long-term outcomes are unclear. METHODS We analyzed 27,829 heart failure admissions between 2006 and 200...

BACKGROUND The identification of patients at high risk of unplanned readmission is an important component of discharge planning strategies aimed at preventing unwanted returns to hospital. The aim of this study was to investigate the factors associated with unplanned readmission in a Sydney hospital. We developed and compared validated readmission risk scores using routinely collected hospital ...

BACKGROUND Hospitalization for cardiovascular disease (CVD) is common among patients receiving maintenance dialysis, but patterns of readmissions following cardiovascular events are underexplored. METHODS AND RESULTS In this retrospective analysis of prevalent, Medicare-eligible patients receiving dialysis in 2012-2013, all live-discharge hospitalizations attributed to CVD were ascertained. R...

BACKGROUND Infection is a common cause of hospitalization in adults receiving hemodialysis. Limited data are available about downstream events resulting from or following these hospitalizations. STUDY DESIGN Retrospective cohort study using the US Renal Data System. SETTING & PARTICIPANTS Medicare beneficiaries initiating in-center hemodialysis therapy in 2005 to 2008. FACTORS Demographic...