Term: Factors Associated With Readmission

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Glossary Definition

Last Updated: 2014-05-21

Definition:

A series of logistic regression analyses were performed to determine which of a number of factors were related to hospital readmission within 30 days, based on the investigation and findings of previous studies (Battistella, Torabian, & Siadatan, 1997; Calvillo-King et al., 2013; Hoskins, Walton-Moss, Clark, Schroeder, & Thiel, 1999; Kansagara et al., 2011; Lichtman et al., 2010; Mackie, Ionescu-Ittu, Pilote, Rahme, & Marelli, 2008; Slamowicz, Erbas, Sundararajan, & Dharmage, 2008; Van Walraven & Bell, 2002; Weeks, Lee, Wallace, West, & Bagian, 2009).

The factors investigated in Fransoo et al. (2013) were:

• Patient age (in years)
  
• Patient sex
  
• Income quintile (urban and rural separately)
  
• Sickness level (using resource utilization bands (RUBs) groups)
  
• Discharge disposition
  
• Admission from the emergency department
  
• Discharged on a Friday
  
• Hospitalization type (surgical, obstetrical, mental disorders and live birth based on CMGs™ and Major Clinical Categories (MCC))
  
• Difference between actual and expected length of stay (ELOS) (2 days or more)
  
• Number of hospitalizations in preceding one year period

Related concepts 

• Health Indicators: Indicators of Health Status and Healthcare Use
• Readmissions to Hospital

Related terms 

• Case Mix Groups (CMG™)
• Expected Length Of Stay (ELOS)
• Income Quintiles / Income Quintile
• Major Clinical Categories (MCC)
• Readmission / Hospital Readmission
• Resource Utilization Bands (RUBs)
• Sickness Level

References 

• Battistella FD, Torabian SZ, Siadatan KM. Hospital readmission after trauma: An analysis of outpatient complications. Injury, Infection and Critical Care 1997;42(6):1012-1017.(View)
• Calvillo-King L, Arnold D, Eubank KJ. Impact of social factors on risk of readmission or mortality in pneumonia and heart failure: Systematic review. Journal of General Internal Medicine 2013;28(2):269-282.(View)
• Hoskins LM, Walton-Moss B, Clark HM, Schroeder MA. Predictors of hospital readmission among the elderly with congestive heart failure. Home Healthcare Nurse 1999;17(6):373-381.(View)
• Kansagara D, Englander H, Salanitro A, Kagen D Theobald, C, Freeman M, Kripalani S. Risk prediction models for hospital readmission: A systematic review. JAMA 2011;306(15):1688-1698.(View)
• Lichtman JH, Leifheit-Limson EC, Jones SB, Watanabe E, Bernheim SM, Phipps MS, Bhat KR, Savage SV, Goldstein LB. Predictors of hospital readmission after stroke: A systematic review. Stroke 2010;41(11):2525-2533.(View)
• Mackie AS, Ionescu-Ittu R, Pilote L, Rahme E, Marelli AJ. Hospital readmissions in children with congenital heart disease: A population-based study. American Heart Journal 2008;155(3):577-584.(View)
• Slamowicz R, Erbas B, Sundararajan V, Dharmage S. Predictors of readmission after elective coronary artery bypass graft surgery. Australian Health Review 2008;32(4):677-683.(View)
• Van Walraven C, Bell CM. Risk of death or readmission among people discharged from hospital on Fridays. CMAJ 2002;166(13):1672-1673.(View)
• Weeks WB, Lee. RE, Wallace AE, West AN, Bagian JP. Do older rural and urban veterans experience different rates of umplanned readmission to VA and Non-VA hospitals. Journal of Rural Health 2009;25(1):62-69.(View)

Term used in 

• Fransoo R, Martens P, The Need to Know Team, Prior H, Burchill C, Koseva I, Bailly A, Allegro E. The 2013 RHA Indicators Atlas. Winnipeg, MB: Manitoba Centre for Health Policy, 2013. [Report] [Summary] [Additional Materials] (View)