On Analyzing Readmissions Using A Trajectory Model: Evidence From Israel.

Autor: Ben-Assuli O; Ono Academic College, Israel., Padman R; Carnegie Mellon University, Pittsburgh, USA., Bowman M; Olmsted Medical Center, Minnesota, USA., Leshno M; Tel-Aviv University, Israel., Shabtai I; College of Management Academic Studies, Rishon Lezion, Israel.
Jazyk: angličtina
Zdroj: Studies in health technology and informatics [Stud Health Technol Inform] 2015; Vol. 216, pp. 1063.
Abstrakt: The problem of readmission, wherein patients are readmitted for the same or a related condition shortly after discharge, has become a challenge worldwide from care quality and financial perspectives. In this study, we explore 30-day readmission data for predicting who is likely to be readmitted and understanding key factors contributing to preventable readmissions using the developmental trajectory of creatinine level as a key laboratory marker of serious illness and a potential predictor of future readmission. Using Electronic Health Record data on 928 patients over ten different visits to emergency departments across Israel, we apply a semi-parametric, statistical, group-based trajectory model to elicit three distinct creatinine-based trajectories over time with differing 30-day readmission rates for males and females. Analysis of readmission risk stratification of the patient population using other relevant factors is ongoing research.
Databáze: MEDLINE