Risk Factors and Patterns of Potentially Avoidable Readmission in Patients With Cancer.

Donzé, Jacques; Lipsitz, Stuart; Schnipper, Jeffrey L (2017). Risk Factors and Patterns of Potentially Avoidable Readmission in Patients With Cancer. Journal of oncology practice, 13(1), e68-e76. American Society of Clinical Oncology 10.1200/JOP.2016.011445

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PURPOSE

Patients with cancer are particularly at risk for readmission within 30-days after discharge. To identify the patients who might benefit from more-intensive discharge interventions, we identified the risk factors associated with 30-day potentially avoidable readmissions.

METHODS AND MATERIALS

We included all consecutive discharges from the oncology division of an academic tertiary medical center in Boston, Massachusetts, between July 1, 2009, and June 30, 2010. Potentially avoidable 30-day readmissions to the index hospital and two other hospitals within its network were identified. We performed a multivariable logistic regression in which the final model included variables found in bivariable testing to be significantly associated with the outcome.

RESULTS

Among the 2,916 patients discharged during the study period, 1,086 (37.3%) were readmitted within 30 days. Of these, 341 (31.4% of all readmissions, 11.7% of all discharges) were identified as potentially avoidable. In the multivariable analysis, the following patient factors were associated with a significantly higher risk of a potentially avoidable readmission: total number of medications at discharge, liver disease, last sodium level, and last hemoglobin level before discharge. In addition, potentially avoidable readmissions occurred significantly earlier than unavoidable readmissions (median, 10 v 13 days; P < .001).

CONCLUSION

Almost 40% of patients with cancer had a 30-day readmission, and almost one third of these were deemed potentially avoidable, and several risk factors for this were identified. Interventions at discharge may be prioritized to patients with these risk factors.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine

UniBE Contributor:

Donzé, Jacques

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1935-469X

Publisher:

American Society of Clinical Oncology

Language:

English

Submitter:

Jacques Donzé

Date Deposited:

20 Mar 2018 10:41

Last Modified:

25 Oct 2019 06:58

Publisher DOI:

10.1200/JOP.2016.011445

PubMed ID:

28084884

BORIS DOI:

10.7892/boris.110663

URI:

https://boris.unibe.ch/id/eprint/110663

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