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Readmission Predictors in Patients With Type II Diabetes
Veronica Santos Timple1, Lina Najib Kawar
1Patient Care Services, Kaiser Permanente San Diego Medical Center, San Diego, California (Dr Timple); and Regional Nursing Research Program, Kaiser Permanente Southern California Patient Care Services, Pasadena, California (Dr Kawar).
Background:
In patients with type II diabetes, hospital readmissions occur frequently and contribute significantly to morbidity. Limited research has predicted the factors that contribute to preventable readmission.
Purpose:
This study identified the predictors of 30-day hospital readmission in patients with type II diabetes.
Methods:
This single-site 400 patients study examined effects of comorbidities, race, endocrinology consultation, diabetes self-management education, and diabetes medications on 30-day hospital readmissions.
Results:
Patients with more comorbidities, who were Hispanics, and those who received an endocrinology consultation were more likely to be readmitted. Patients who received diabetes self-management education or were prescribed both oral and insulin medications were less likely to be readmitted.
Conclusion:
Findings identified the factors related to 30-day readmission in patients with diabetes, emphasizing the need for diabetes self-management education. Understanding why patients are readmitted within 30 days of initial admission will empower nurses to create targeted plans to improve nursing care quality and prevent readmission.
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