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Hospital readmissions--are they predictable and avoidable?

Pascal P Maurer1, Peter E Ballmer

  • 1Department of Internal Medicine, Kantonsspital Winterthur, Brauerstrasse, CH-8400 Winterthur, Switzerland.

Swiss Medical Weekly
|December 14, 2004
PubMed
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Hospital readmission rates (RA) are key quality indicators. This pilot study found that most RAs occur within 30 days, with a small percentage deemed avoidable, highlighting the need for regular monitoring.

Area of Science:

  • Healthcare Quality Management
  • Patient Outcomes Research
  • Hospital Administration

Background:

  • Limited healthcare resources necessitate effective patient management indicators.
  • Hospital readmission rate (RA) is a critical parameter for assessing hospital care quality.
  • This study aimed to quantify RA and differentiate avoidable from unavoidable readmissions.

Purpose of the Study:

  • To measure the rate of hospital readmissions (RA) within 30 and 90 days post-discharge.
  • To classify RAs as planned, unplanned, avoidable, or unavoidable.
  • To identify factors influencing RA in internal medicine patients.

Main Methods:

  • Pilot study conducted at the Department of Internal Medicine (DIM), Kantonsspital Winterthur (KSW).
  • Inclusion of all patients admitted between March 1st and May 31st, 1998.

Related Experiment Videos

  • Follow-up of patients for 90 days post-discharge to record and classify the first RA.

    • Main Results:

    • Out of 773 discharged patients, 12.3% had RAs within 30 days, and 19.5% within 90 days.
    • 0.4% of RAs within 30 days and 1.3% within 90 days were classified as avoidable.
    • The highest RA rates occurred within 10 days of discharge, with unplanned RAs comprising 59.3% within 30 days.

    Conclusions:

    • Regular monitoring of hospital readmission rates (RA) is recommended.
    • Most RAs occur within 30 days of discharge.
    • Extending the observation period to 90 days did not significantly alter the primary conclusions regarding RA.