30-Day Readmission in Internal Medicine Wards: Rates and Risk Factors
DOI:
https://doi.org/10.24950/rspmi.888Keywords:
Internal Medicine, Patient Readmission, Risk FactorsAbstract
Introduction: Hospital readmission is one of the quality criteria used to evaluate services provided in a hospital. This study aims
to determine readmission rates of General Internal Medicine patients and identify risk factors for readmission.
Material and Methods: we conducted a retrospective observational study in which all General Internal Medicine patients admitted on the previous three months were considered. We determined the 30 day-readmission rate and its association with age,
gender, primary diagnosis, comorbidities, length of stay and social support.
Results: Were included 537 patients and 47 patients (8.8%) were
readmitted within 30 days. In multivariate analysis, factors associated with readmission included male gender (OR 1.96, 95% CI
1.08-3.85, p 0.03), presence of diabetes mellitus as comorbidity (OR 2.37; CI 1.27-4.43, p 0.07) and the presence of chronic
kidney disease as comorbidity (OR 4.08, 95% CI 2.07-8.14, p <0.001).
Conclusion: The 30 day-readmission rate of our General Internal Medicine patients is 8.8%. Male gender, the presence of diabetes
mellitus and chronic kidney disease as comorbidities were risk factors for readmission.
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