Risk Factors for Readmission in Patients With Cancer Comanaged by Hospitalists
Autor: | Michael S. Humeniuk, Darrell R. Schroeder, Joshua S. Shapiro, Neelima Bonthu, Mustaqeem A. Siddiqui, Deanne T. Kashiwagi |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Psychological intervention Patient Readmission 03 medical and health sciences Patient safety 0302 clinical medicine Risk Factors Neoplasms Humans Medicine In patient 030212 general & internal medicine Aged Retrospective Studies Aged 80 and over Patient Care Team Hospital readmission business.industry Health Policy Cancer Retrospective cohort study Odds ratio Middle Aged medicine.disease Hospitalists 030220 oncology & carcinogenesis Emergency medicine Cohort Female business |
Zdroj: | American Journal of Medical Quality. 32:526-531 |
ISSN: | 1555-824X 1062-8606 |
DOI: | 10.1177/1062860616665904 |
Popis: | Little is known about which variables put patients with cancer at risk for 30-day hospital readmission. Comanagement of this often complex patient population by specialists and hospitalists has become increasingly common. This retrospective study examined inpatients with cancer comanaged by hospitalists, hematologists, and oncologists to determine the rate of readmission and factors associated with readmission. Patients in this cohort had a readmission rate of 23%. Patients who were discharged to a skilled nursing facility (odds ratio [OR] = 0.34) or hospice (OR = 0.11) were less likely to have 30-day readmissions, whereas patients who had surgery (OR = 3.16) during their index admission were more likely. Other factors, including patient demographics, cancer types, and hospitalization interventions and events, did not differ between patients who were readmitted and those who were not. These findings contribute to a growing body of literature identifying risk factors for readmission in medical oncology and hematology patients. |
Databáze: | OpenAIRE |
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