Literature DB >> 32037552

Suitability of elderly adult hospital readmission rates for profiling readmissions in younger adult and pediatric populations.

Emily M Bucholz1,2, Sara L Toomey2,3, Neel M Butala2,4, Alyna T Chien2,3, Robert W Yeh5, Mark A Schuster2,3,6.   

Abstract

OBJECTIVE: To determine the correlation between hospital 30-day risk-standardized readmission rates (RSRRs) in elderly adults and those in nonelderly adults and children. DATA SOURCES/STUDY
SETTING: US hospitals (n = 1760 hospitals admitting adult patients and 235 hospitals admitting both adult and pediatric patients) in the 2013-2014 Nationwide Readmissions Database. STUDY
DESIGN: Cross-sectional analysis comparing 30-day RSRRs for elderly adult (≥65 years), middle-aged adult (40-64 years), young adult (18-39 years), and pediatric (1-17 years) patients. PRINCIPAL
FINDINGS: Hospital elderly adult RSRRs were strongly correlated with middle-aged adult RSRRs (Pearson R2 .69 [95% confidence interval (CI) 0.66-0.71]), moderately correlated with young adult RSRRs (Pearson R2 .44 [95% CI 0.40-0.47]), and weakly correlated with pediatric RSRRs (Pearson R2 .28 [95% CI 0.17-0.38]). Nearly identical findings were observed with measures of interquartile agreement and Kappa statistics. This stepwise relationship between age and strength of correlation was consistent across every hospital characteristic.
CONCLUSIONS: Hospital readmission rates in elderly adults, which are currently used for public reporting and hospital comparisons, may reflect broader hospital readmission performance in middle-aged and young adult populations; however, they are not reflective of hospital performance in pediatric populations. © Health Research and Educational Trust.

Entities:  

Keywords:  age; readmission

Mesh：

Year:  2020        PMID： 32037552      PMCID： PMC7080390          DOI： 10.1111/1475-6773.13269

Source DB:  PubMed          Journal:  Health Serv Res        ISSN： 0017-9124            Impact factor:   3.402


  29 in total

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Review 2.  Hospital-based medication reconciliation practices: a systematic review.

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3.  Development and use of an administrative claims measure for profiling hospital-wide performance on 30-day unplanned readmission.

Authors:  Leora I Horwitz; Chohreh Partovian; Zhenqiu Lin; Jacqueline N Grady; Jeph Herrin; Mitchell Conover; Julia Montague; Chloe Dillaway; Kathleen Bartczak; Lisa G Suter; Joseph S Ross; Susannah M Bernheim; Harlan M Krumholz; Elizabeth E Drye
Journal:  Ann Intern Med       Date:  2014-11-18       Impact factor: 25.391

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5.  Hospital strategies associated with 30-day readmission rates for patients with heart failure.

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6.  Development, implementation, and dissemination of the I-PASS handoff curriculum: A multisite educational intervention to improve patient handoffs.

Authors:  Amy J Starmer; Jennifer K O'Toole; Glenn Rosenbluth; Sharon Calaman; Dorene Balmer; Daniel C West; James F Bale; Clifton E Yu; Elizabeth L Noble; Lisa L Tse; Rajendu Srivastava; Christopher P Landrigan; Theodore C Sectish; Nancy D Spector
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7.  Applicability of Publicly Reported Hospital Readmission Measures to Unreported Conditions and Other Patient Populations: A Cross-sectional All-Payer Study.

Authors:  Neel M Butala; Daniel B Kramer; Changyu Shen; Jordan B Strom; Kevin F Kennedy; Yun Wang; Linda R Valsdottir; Jason H Wasfy; Robert W Yeh
Journal:  Ann Intern Med       Date:  2018-03-27       Impact factor: 25.391

8.  Patterns of hospital performance in acute myocardial infarction and heart failure 30-day mortality and readmission.

Authors:  Harlan M Krumholz; Angela R Merrill; Eric M Schone; Geoffrey C Schreiner; Jersey Chen; Elizabeth H Bradley; Yun Wang; Yongfei Wang; Zhenqiu Lin; Barry M Straube; Michael T Rapp; Sharon-Lise T Normand; Elizabeth E Drye
Journal:  Circ Cardiovasc Qual Outcomes       Date:  2009-07-09

Review 9.  Is the readmission rate a valid quality indicator? A review of the evidence.

Authors:  Claudia Fischer; Hester F Lingsma; Perla J Marang-van de Mheen; Dionne S Kringos; Niek S Klazinga; Ewout W Steyerberg
Journal:  PLoS One       Date:  2014-11-07       Impact factor: 3.240

10.  Trajectories of Risk for Specific Readmission Diagnoses after Hospitalization for Heart Failure, Acute Myocardial Infarction, or Pneumonia.

Authors:  Harlan M Krumholz; Angela Hsieh; Rachel P Dreyer; John Welsh; Nihar R Desai; Kumar Dharmarajan
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  1 in total

1.  Suitability of elderly adult hospital readmission rates for profiling readmissions in younger adult and pediatric populations.

Authors:  Emily M Bucholz; Sara L Toomey; Neel M Butala; Alyna T Chien; Robert W Yeh; Mark A Schuster
Journal:  Health Serv Res       Date:  2020-02-09       Impact factor: 3.402
  1 in total

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