Clinical and nutritional predictors of hospital readmission within 30 days
| Autor: | Paula Luiza Menezes Cruz, Renata Reis de Lima E Silva, Bruna Lúcia Mendonça Soares, Jacqueline Elineuza da Silva |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Longitudinal study Multivariate analysis Medicine (miscellaneous) Nutritional Status 030209 endocrinology & metabolism Patient Readmission 03 medical and health sciences 0302 clinical medicine Weight loss Risk Factors Internal medicine medicine Humans Longitudinal Studies Prospective Studies Risk factor Polypharmacy Hospital readmission 030109 nutrition & dietetics Nutrition and Dietetics business.industry Malnutrition medicine.disease Hospitalization medicine.symptom business Body mass index |
| Zdroj: | European journal of clinical nutrition. 76(2) |
| ISSN: | 1476-5640 |
| Popis: | Background/objectives Identify clinical, sociodemographic, and nutritional predictors of hospital readmission within 30 days. Subjects/methods A longitudinal study was conducted with patients hospitalised at a public institution in Recife, Brazil. Sociodemographic (age, sex, race, and place of residence), clinical (diagnosis, comorbidities, medications, polypharmacy, hospital outcome, hospital stay, and occurrence of readmission within 30 days), and nutritional (% of weight loss, body mass index, arm circumference [AC], and calf circumference [CC]) characteristics were collected from the nutritional assessment files and patient charts. Nutritional risk was determined using the 2002 Nutritional Risk Screening tool and the diagnosis of malnutrition was based on the GLIM criteria. Results The sample was composed of 252 patients, 58 (23.0%; CI95%: 17.2-28.8%) of whom were readmitted within 30 days after discharge from hospital, 135 (53.5%; CI95%: 46.7-60.5%) were at nutritional risk and 107 (42.4%; CI95%: 35.6-49.3%) were malnourished. In the bivariate analysis, polypharmacy, nutritional risk, malnutrition, low AC, and low CC were associated with readmission. In the multivariate analysis, low CC was considered an independent risk factor, increasing the likelihood of hospital readmission nearly fourfold. In contrast, the absence of polypharmacy was a protective favour, reducing the likelihood of readmission by 81%. Conclusions The use of six medications or more and low calf circumference are risk factors for hospital readmission within 30 days after discharge. |
| Databáze: | OpenAIRE |
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