Peggy Burhenn1, Can-Lan Sun2, Kevin S Scher3, Joyce Hsu4, Punita Pandya5, Ching-Yi Chui6, Anait Arsenyan7, Dale Mitani8, Rachel Morrison9, Vani Katheria10, Arti Hurria11. 1. City of Hope Comprehensive Cancer Center, Duarte, CA, USA. Electronic address: pburhenn@coh.org. 2. City of Hope Comprehensive Cancer Center, Duarte, CA, USA. Electronic address: casun@coh.org. 3. Cedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA. 4. City of Hope Comprehensive Cancer Center, Duarte, CA, USA. Electronic address: joyhsu@coh.org. 5. Grant Medical Center, Columbus, OH, USA. 6. East Valley Community Health Center, West Covina, CA, USA. 7. City of Hope Comprehensive Cancer Center, Duarte, CA, USA; Los Angeles County Department of Public Health, Los Angeles, CA, USA. 8. City of Hope Comprehensive Cancer Center, Duarte, CA, USA. Electronic address: dmitani@coh.org. 9. Scripps College, Claremont, CA, USA. 10. City of Hope Comprehensive Cancer Center, Duarte, CA, USA. Electronic address: vkatheria@coh.org. 11. City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Abstract
OBJECTIVE: Older adults with cancer are at higher risk for costly and potentially dangerous hospital readmissions. Identifying risk factors for readmission in this population is important for future prevention of readmission. MATERIALS AND METHODS: Hospital discharges among patients ≥ 65 years with solid tumors on non-surgical services from 2006-2011 were reviewed in this matched case-control study. We abstracted patient/cancer characteristics; functional status; fall risk; chemotherapy line; comorbidities; laboratory values; discharge parameters; and miscellaneous information (Do Not Resuscitate Order, pain scores) from medical records. Conditional logistic regression was used for univariate and multivariable analysis. RESULTS: This analysis included 184 case-patients readmitted within 30 days after discharge from the index admission and 184 sex- and age-matched control-patients discharged from index admission within three months of the cases with no readmission. Cases and controls had no differences in terms of primary cancer type, treatment, and index admission reason. Cases were more likely to have abnormal hemoglobin, albumin, sodium, and SGOT on discharge. Compared to those with ≤1 abnormal laboratory test, patients with 2 or more abnormal test results were 3 times more likely to be readmitted within 30 days. CONCLUSION: This study demonstrated that older adults with cancer who had at least 2 abnormal laboratory results (hemoglobin, albumin, sodium, and SGOT) at discharge were 3 times more likely to be readmitted within 30 days compared to those with ≤1 abnormal results. These laboratory values may be predictive of the risk of readmission, and should be monitored before discharge to potentially prevent readmission.
OBJECTIVE: Older adults with cancer are at higher risk for costly and potentially dangerous hospital readmissions. Identifying risk factors for readmission in this population is important for future prevention of readmission. MATERIALS AND METHODS: Hospital discharges among patients ≥ 65 years with solid tumors on non-surgical services from 2006-2011 were reviewed in this matched case-control study. We abstracted patient/cancer characteristics; functional status; fall risk; chemotherapy line; comorbidities; laboratory values; discharge parameters; and miscellaneous information (Do Not Resuscitate Order, pain scores) from medical records. Conditional logistic regression was used for univariate and multivariable analysis. RESULTS: This analysis included 184 case-patients readmitted within 30 days after discharge from the index admission and 184 sex- and age-matched control-patients discharged from index admission within three months of the cases with no readmission. Cases and controls had no differences in terms of primary cancer type, treatment, and index admission reason. Cases were more likely to have abnormal hemoglobin, albumin, sodium, and SGOT on discharge. Compared to those with ≤1 abnormal laboratory test, patients with 2 or more abnormal test results were 3 times more likely to be readmitted within 30 days. CONCLUSION: This study demonstrated that older adults with cancer who had at least 2 abnormal laboratory results (hemoglobin, albumin, sodium, and SGOT) at discharge were 3 times more likely to be readmitted within 30 days compared to those with ≤1 abnormal results. These laboratory values may be predictive of the risk of readmission, and should be monitored before discharge to potentially prevent readmission.
Authors: Andrew S Epstein; Christopher Crosbie; Steven C Martin; Barbara Egan; Tabitha N Goring; Douglas J Koo; Chhavi B Kumar; Cori Salvit; Marinela Capanu; Joanna Chou; Leonard B Saltz Journal: Hosp Pract (1995) Date: 2014-12
Authors: Alessandro Morandi; Giuseppe Bellelli; Eduard E Vasilevskis; Renato Turco; Fabio Guerini; Tiziana Torpilliesi; Salvatore Speciale; Valeria Emiliani; Simona Gentile; John Schnelle; Marco Trabucchi Journal: J Am Med Dir Assoc Date: 2013-05-07 Impact factor: 4.669
Authors: Victoria Wochna Loerzel; Robert B Hines; Christine Wargo Deatrick; Patricia I Geddie; John M Clochesy Journal: Support Care Cancer Date: 2021-06-09 Impact factor: 3.603