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Clinical Factors Associated with Readmission among Patients with Lower Limb Cellulitis
Amit Garg1, Jonathan Lavian, Gloria Lin
1Department of Dermatology, Hofstra Northwell School of Medicine, Hempstead, NY, USA.
Dermatology (Basel, Switzerland)
|May 15, 2017
Summary
Older age and subsidized insurance increase the risk of lower limb cellulitis (LLC) readmission. Infection severity markers were not significantly associated with readmission for LLC patients.
Area of Science:
- Infectious Diseases
- Dermatology
- Health Services Research
Background:
- Lower limb cellulitis (LLC) incurs significant healthcare costs.
- Understanding LLC readmission risk factors is crucial for effective patient management.
- Limited evidence exists to identify patients at high risk for LLC readmission.
Purpose of the Study:
- To characterize patients with LLC who are readmitted.
- To identify demographic, comorbidity, and clinical factors associated with LLC readmission.
- To investigate the association of infection severity markers with LLC readmission.
Main Methods:
- Retrospective cohort study across multiple hospital types.
- Analysis of patient demographics, comorbidities, vital signs, and lab markers.
- Univariate and multivariate models to assess LLC readmission predictors.
Main Results:
- The LLC readmission rate was 11.2%.
- Increased age and subsidized insurance were significantly associated with higher readmission rates.
- Infection severity indicators (vital signs, lab markers) were not significantly associated with readmission.
Conclusions:
- Older age and subsidized insurance are key factors associated with LLC readmission.
- Socioeconomic factors, rather than infection severity, may influence LLC readmission.
- Further research into non-clinical factors influencing LLC readmission is warranted.
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