Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Preventability of Early vs Late Readmissions

Ann Intern Med; ePub 2018 May 1; Graham, et al

Among general medicine patients, early hospital readmissions were more likely to be preventable and amenable to hospital-based interventions, while late readmissions were less likely to be preventable and were more amenable to ambulatory and home-based interventions. This according to a prospective cohort study of 822 adults readmitted to a general medicine service. For each readmission, 2 site-specific physician adjudicators used a structured survey instrument to determine whether it was preventable and measured other characteristics. Researchers found:

  • Overall, 36.2% of early readmissions vs 23.0% of late readmissions were preventable.
  • Hospitals were identified as better locations for preventing early readmissions (47.2% vs 25.5%).
  • Outpatient clinics (15.2% vs 6.6%) and home (19.4% vs 24.0%) were better for preventing late readmissions.

Citation:

Graham KL, Auerbach AD, Schnipper JL, et al. Preventability of early versus late hospital readmissions in a national cohort of general medicine patients. [Published online ahead of print May 1, 2018]. Ann Intern Med. doi:10.7326/M17-1724.

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