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Risk Factors Associated with Unplanned Hospital Readmissions in Adults with Cancer.
Clara Granda-Cameron1, Maryam Behta, Mary Hovinga
1Abramson Cancer Center at Pennsylvania Hospital in Philadelphia.
Oncology Nursing Forum
|April 23, 2015
Summary
Adult cancer patients with high fall risk and advanced disease are more likely to face 30-day hospital readmissions. Identifying these risk factors is key to improving cancer care transitions and reducing unplanned readmissions.
Area of Science:
- Oncology
- Healthcare Quality
- Patient Outcomes
Background:
- Unplanned hospital readmissions are a significant concern in cancer care.
- Identifying predictors of readmission is crucial for improving patient outcomes and healthcare efficiency.
Purpose of the Study:
- To identify risk factors associated with 30-day unplanned hospital readmissions in adult cancer patients.
- To inform strategies for reducing readmission rates in this population.
Main Methods:
- A case-control study was conducted involving 302 adult patients with solid tumors.
- Logistic regression analyses were used to identify patient, clinical, hospitalization, and discharge-planning characteristics associated with readmission.
Main Results:
- Twenty-nine percent of patients were readmitted within 30 days, with most readmissions occurring within the first week.
- The strongest predictors for readmission were moderate to high risk for falls and advanced stage (metastatic) disease.
Conclusions:
- Hospital readmission rates serve as an indicator of care quality.
- Identifying high-risk patients allows for targeted interventions, such as improved discharge planning and palliative care referrals, to prevent readmissions.
- Oncology nurses play a vital role in developing strategies to enhance discharge planning and care transitions.
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