Risk Factors for Hospital Readmission of Hospice Patients

Topic: Specific Patient Populations

 

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A retrospective case control study designed to examine potential risk factors for readmission to the hospital within one week of discharge to home hospice. The primary outcome variable was hospital readmission within 7 days. Cases were defined as subjects that were discharged to home hospice and readmitted to the hospital within 7 days.  Controls were defined as subjects that were discharged to home hospice and were NOT readmitted to the hospital within 7 days. Cases were significantly younger than controls (69.5 vs. 77.0).  Cases were more likely to be Hispanic (15.2 vs. 5.1), Asian (15.2 vs. 5.1) and other (13.0 vs. 2.6) when compared to controls.  Cases were more likely to speak Spanish (13.3 vs. 3.5) or other (20.0 vs. 5.3) and less likely to speak English (66.7 vs. 91.2).  Cases were less likely to have Medicare only (8.7 vs. 82.9) and more likely to have Medicaid (32.6 vs. 4.3), private insurance (13.0 vs. 10.3) or some other form of insurance.  Our data highlights four risk factors, namely age, race, language and insurance status as factors predicting readmission within seven days of acute care hospital discharge. Further study of these predictors may identify opportunities for interventions to obviate these readmissions.

Author

Co-authors

  • A. Kozikowski
  • A. Wilson
  • B. Earle
  • L. Attivissimo
  • L. Rosen
  • R. Pekmezaris

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