Unplanned readmissions in older patients are a prominent and current issue for healthcare
professionals and regulators. They can indeed be very deleterious for patients, leading
to an increased risk of dependence and functional or psychosocial decline,
1
and for hospitals as these readmissions are costly.
2
Moreover, the reduction of readmissions was introduced into guidelines by health
system organizations as a quality indicator.
3
,4
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References
- The impact of early emergency department allied health intervention on admission rates in older people: A non-randomized clinical study.BMC Geriatr. 2012; 12: 8
- Repeated hospitalization for the same disease: A multiplier of national health costs.Milbank Mem Fund Q Health Soc. 1980; 58: 454-471
- Comment réduire le risque de réhospitalisations évitables des personnes âgées? (How to reduce the risk of avoidable readmissions for elderly patients?).2013 (Available at:) (Accessed January 20, 2020)
- Is the readmission rate a valid quality indicator? A review of the evidence.PLoS One. 2014; 9: e112282
- Interventions to reduce 30-day rehospitalization: A systematic review.Ann Intern Med. 2011; 155: 520-528
- Risk scores identifying elderly inpatients at risk of 30-day unplanned readmission and accident and emergency department visit: A systematic review.BMJ Open. 2019; 9: e028302
- International validity of the HOSPITAL Score to predict 30-day potentially avoidable hospital readmissions.JAMA Intern Med. 2016; 176: 496-502
- A tool for prediction of risk of rehospitalisation and mortality in the hospitalised elderly: Secondary analysis of clinical trial data.BMJ Open. 2015; 5: e007259
- A simplified scoring tool for prediction of readmission in elderly patients hospitalized in internal medicine departments.Isr Med Assoc J. 2012; 14: 752-756
- Screening for risk of unplanned readmission in older patients admitted to hospital: Predictive accuracy of three instruments.Aging Clin Exp Res. 2010; 22: 345-351
References
- Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): the TRIPOD statement.BMJ. 2015; 350: g7594
- Is same-hospital readmission rate a good surrogate for all-hospital readmission rate? Med Care.mai. 2010; 48: 477-481
- Sample size considerations for the external validation of a multivariable prognostic model: a resampling study.Stat Med. 2016; 35: 214-226
- Substantial effective sample sizes were required for external validation studies of predictive logistic regression models.J Clin Epidemiol. 2005; 58: 475-483
- Proportion of hospital readmissions deemed avoidable: a systematic review.CMAJ. 2011; 183: E391-E402
- Prospective validation and adaptation of the HOSPITAL score to predict high risk of unplanned readmission of medical patients.Swiss Med Wkly. 2016; 146: w14335
Article info
Publication history
Published online: February 07, 2020
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© 2019 AMDA - The Society for Post-Acute and Long-Term Care Medicine.