Readmission To A Different Hospital – Risk Factors And Impact On Length Of Stay Academic Article uri icon

abstract

  • Objectives Recent studies show that about 20% of readmissions are to a different hospital than the index admission. In non-same hospital readmissions there exists a risk for fragmentation and loss of information. We aimed to test risk factors for different hospital readmissions (DHR) and whether DHRs are associated with worse outcomes, specifically longer length of stay (LOS) as compared with same hospital readmissions. Methods A retrospective cohort study of hospitalized members of Clalit Health Services, Israel's largest non-for-profit health care organization. All Clalit members that had at least one hospitalization in an internal medicine department anytime during 2010 and at least one readmission within 30 days were included. A multivariate marginal Cox model using clustering of admissions within patients was employed to test the association between …

publication date

  • January 1, 2014