Patient and health system factors associated with hospital readmission in older adults without cognitive impairment.
|Title||Patient and health system factors associated with hospital readmission in older adults without cognitive impairment.|
|Publication Type||Journal Article|
|Year of Publication||2018|
|Authors||Vasiliadis HM, Milan R, Guerra SGontijo, MJ Fleury|
|Journal||Gen Hosp Psychiatry|
|Date Published||2018 Jul - Aug|
|Keywords||Aged, Aged, 80 and over, Comorbidity, Female, Follow-Up Studies, Health Status, Humans, Male, Mental Disorders, Patient Readmission, Quebec|
OBJECTIVE: To study the factors associated with hospital readmission.METHODS: Data used in this study came from a population-based survey of older adults without cognitive impairment. Cox regression was used to assess the factors associated with readmission within a 2-year follow-up period. According to Andersen's model of healthcare seeking behavior, study variables considered included predisposing, enabling and need factors at the individual and health system levels.RESULTS: Of the 433 participants with an index hospitalization, 97% were discharged with a physical and 3% with a psychiatric disorder. During follow-up, 29% (128/433) were readmitted with a median time to readmission reaching 83 days. The risk of readmission was associated with the following: age, marital status, attraction index of the region of residence for psychiatric services, the presence of an anxio-depressive and other mental disorder, as well as a disorder of the musculoskeletal system. The presence of a physical and psychiatric comorbidity was also associated with readmission.CONCLUSIONS: Post-discharge follow-up of vulnerable populations with a history of mental disorders and improved availability of psychiatric services in the community are associated with a reduced risk of readmission.
|Alternate Journal||Gen Hosp Psychiatry|
|Grant List||200683MOP / / CIHR / Canada|