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Factors associated with 14-day hospital readmission in frail older patients: A case-control study
Mei-He Lin1, Kuei-Ying Wang2, Ching-Huey Chen2
1Department of Nursing, College of Health Sciences, Chang Jung Christian University, Tainan City, Taiwan, ROC; Department of Nursing, Tzu Hui Institute of Technology, Pingtung County, Taiwan, ROC.
Abstract:
Frailty is a key predictor of readmission among older patients. However, studies on the factors associated with readmission of frail older patients are lacking. This study aims to examine factors associated with 14-day hospital readmission in frail older patients. A retrospective case-control study was conducted. Patients were eligible for inclusion if they were age 65 and over and if their Clinical Frailty Scale (CFS) score was above 4. A total of 210 frail older patients were included. Patients who had partners, experienced a fall within 6 months before hospitalization, had pressure injuries, received surgery or chemotherapy, and received rehabilitation therapy from a physical therapist during hospitalization had increased odds of being readmitted to the hospital within 14 days. Moreover, patients receiving comprehensive geriatric assessment (CGA) services during hospitalization showed a significantly reduced risk of readmission. Adapting CGA and developing continuity care plans from hospitals to the community are crucial.
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