Hospital Readmission Among Elderly Patients

Overview

Journal Eur J Health Econ

Specialty Health Services

Date 2012 Sep 19

PMID 22986991

Citations 10

Authors

Afsaneh Bjorvatn

Affiliations

Soon will be listed here.

Abstract

This study investigates the incidence and determinants of hospital readmissions among elderly patients in Norway. The analyses are based on registered data on inpatient admissions to public hospitals from 1999 to 2006. During this period, mean length of stay in hospital decreased, while readmission rates increased. Probit and instrumental variable regression models are applied for the analyses. The results indicate that longer length of stay in the hospital is associated with lower probability of readmission. A patient's age, comorbidities, and complexity of the treatment procedure are positively associated with readmissions, while higher number of diagnostic procedures negatively affects hospital readmission. Finally, patients discharged to institutions are more likely to be readmitted to the hospital.

Citing Articles

Legal Regulation, Financial Incentives and Professional Autonomy in the Prioritisation of Norwegian Specialist Health Services.

Bjorvatn A, Nilssen E Health Care Anal. 2024; .

PMID: 39287707 DOI: 10.1007/s10728-024-00489-9.

Predictors of hospital readmission rate in geriatric patients.

Bortolani A, Fantin F, Giani A, Zivelonghi A, Pernice B, Bortolazzi E Aging Clin Exp Res. 2024; 36(1):22.

PMID: 38321332 PMC: 10847193. DOI: 10.1007/s40520-023-02664-9.

The Female Sex Confers Different Prognosis in Heart Failure: Same Mortality but More Readmissions.

Lopez-Vilella R, Marques-Sule E, Laymito Quispe R, Sanchez-Lazaro I, Donoso Trenado V, Dolz L Front Cardiovasc Med. 2021; 8:618398.

PMID: 33748194 PMC: 7973030. DOI: 10.3389/fcvm.2021.618398.

Designing a structural equation model of marital satisfaction based on aging perception and demographic and clinical variables in Iranian elderly patients with coronary artery disease.

Fotokian Z, Pourhabib A, Navabi N, Ghaffari F ARYA Atheroscler. 2021; 16(4):161-169.

PMID: 33598036 PMC: 7867309. DOI: 10.22122/arya.v16i4.2087.

Investigating the geographic disparity in quality of care: the case of hospital readmission after acute myocardial infarction in Italy.

Wang Y, Ghislandi S, Torbica A Eur J Health Econ. 2020; 21(8):1149-1168.

PMID: 32894412 PMC: 7561553. DOI: 10.1007/s10198-020-01221-9.

References

Jack B, Chetty V, Anthony D, Greenwald J, Sanchez G, Johnson A . A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009; 150(3):178-87. PMC: 2738592. DOI: 10.7326/0003-4819-150-3-200902030-00007. View

Ashton C, Kuykendall D, Johnson M, Wray N, Wu L . The association between the quality of inpatient care and early readmission. Ann Intern Med. 1995; 122(6):415-21. DOI: 10.7326/0003-4819-122-6-199503150-00003. View

Au S, Chan K, Chan Y, Pang W . Early unplanned readmission of elderly in Singapore: a retrospective study. Ann Acad Med Singap. 2003; 31(6):738-44. View

Kahn K, Keeler E, Sherwood M, Rogers W, Draper D, Bentow S . Comparing outcomes of care before and after implementation of the DRG-based prospective payment system. JAMA. 1990; 264(15):1984-8. View

Malkin J, Broder M, Keeler E . Do longer postpartum stays reduce newborn readmissions? Analysis using instrumental variables. Health Serv Res. 2000; 35(5 Pt 2):1071-91. PMC: 1089164. View

Kosiborod M, Lichtman J, Heidenreich P, Normand S, Wang Y, Brass L . National trends in outcomes among elderly patients with heart failure. Am J Med. 2006; 119(7):616.e1-7. DOI: 10.1016/j.amjmed.2005.11.019. View

Rogers W, Draper D, Kahn K, Keeler E, Rubenstein L, Kosecoff J . Quality of care before and after implementation of the DRG-based prospective payment system. A summary of effects. JAMA. 1990; 264(15):1989-94. View

Rich M, Freedland K . Effect of DRGs on three-month readmission rate of geriatric patients with congestive heart failure. Am J Public Health. 1988; 78(6):680-2. PMC: 1350282. DOI: 10.2105/ajph.78.6.680. View

Andersen H, Schultz-Larsen K, Kreiner S, Forchhammer B, Eriksen K, Brown A . Can readmission after stroke be prevented? Results of a randomized clinical study: a postdischarge follow-up service for stroke survivors. Stroke. 2000; 31(5):1038-45. DOI: 10.1161/01.str.31.5.1038. View

10.

Gilmore D, Beringer T . Re-admission of elderly patients after in-patient rehabilitation. Ulster Med J. 1996; 65(2):142-4. PMC: 2448585. View

11.

Peres K, Rainfray M, Perrie N, Emeriau J, Chene G, Barberger-Gateau P . [Incidence, risk factors and adequation of early readmission among the elderly]. Rev Epidemiol Sante Publique. 2002; 50(2):109-19. View

12.

NEWHOUSE J, Byrne D . Did Medicare's prospective payment system cause length of stay to fall?. J Health Econ. 1988; 7(4):413-6. DOI: 10.1016/0167-6296(88)90023-9. View

13.

Jencks S, Williams M, Coleman E . Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009; 360(14):1418-28. DOI: 10.1056/NEJMsa0803563. View

14.

Kosecoff J, Kahn K, Rogers W, Reinisch E, Sherwood M, Rubenstein L . Prospective payment system and impairment at discharge. The 'quicker-and-sicker' story revisited. JAMA. 1990; 264(15):1980-3. View

15.

Stewart S, Vandenbroek A, Pearson S, Horowitz J . Prolonged beneficial effects of a home-based intervention on unplanned readmissions and mortality among patients with congestive heart failure. Arch Intern Med. 1999; 159(3):257-61. DOI: 10.1001/archinte.159.3.257. View

16.

Fasken L, Wipke-Tevis D, Sagehorn K . Factors associated with unplanned readmissions following cardiac surgery. Prog Cardiovasc Nurs. 2001; 16(3):107-15. DOI: 10.1111/j.0889-7204.2001.00590.x. View

17.

Grumbach K, Keane D, Bindman A . Primary care and public emergency department overcrowding. Am J Public Health. 1993; 83(3):372-8. PMC: 1694659. DOI: 10.2105/ajph.83.3.372. View

18.

Hennen J, Krumholz H, Radford M, Meehan T . Readmission rates, 30 days and 365 days postdischarge, among the 20 most frequent DRG groups, Medicare inpatients age 65 or older in Connecticut hospitals, fiscal years 1991, 1992, and 1993. Conn Med. 1995; 59(5):263-70. View

19.

Johansen H, Nair C, Bond J . Who goes to the hospital? An investigation of high users of hospital days. Health Rep. 1994; 6(2):253-77. View

20.

Heggestad T . Do hospital length of stay and staffing ratio affect elderly patients' risk of readmission? A nation-wide study of Norwegian hospitals. Health Serv Res. 2002; 37(3):647-65. PMC: 1434663. DOI: 10.1111/1475-6773.00042. View