Risk Factors for Hospital Readmission and ...
Document type :
Article dans une revue scientifique: Article original
DOI :
PMID :
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Title :
Risk Factors for Hospital Readmission and Death After Discharge of Older Adults from Acute Geriatric Units: Taking the Rank of Admission into Account.
Author(s) :
Visade, Fabien [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Babykina, Génia [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Puisieux, François [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Bloch, Frédéric [Auteur]
CHU Amiens-Picardie
Charpentier, Anne [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Delecluse, Céline [Auteur]
Loggia, Gilles [Auteur]
Université de Caen Normandie [UNICAEN]
Lescure, Pascale [Auteur]
Université de Caen Normandie [UNICAEN]
Attier-Żmudka, Jadwiga [Auteur]
Université de Picardie Jules Verne [UPJV]
Gaxatte, Cédric [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Deschasse, Guillaume [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
BEUSCART, Jean-Baptiste [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Babykina, Génia [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Puisieux, François [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Bloch, Frédéric [Auteur]
CHU Amiens-Picardie
Charpentier, Anne [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Delecluse, Céline [Auteur]
Loggia, Gilles [Auteur]
Université de Caen Normandie [UNICAEN]
Lescure, Pascale [Auteur]
Université de Caen Normandie [UNICAEN]
Attier-Żmudka, Jadwiga [Auteur]
Université de Picardie Jules Verne [UPJV]
Gaxatte, Cédric [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Deschasse, Guillaume [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
BEUSCART, Jean-Baptiste [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Journal title :
Clinical Interventions in Aging
Abbreviated title :
Clin Interv Aging
Volume number :
16
Pages :
1931-1941
Publisher :
Dove Press
Publication date :
2021-10-29
ISSN :
1178-1998
English keyword(s) :
Aged
Aged, 80 and over
Hospitalization
Humans
Patient Discharge
Patient Readmission
Prospective Studies
Risk Factors
acute geriatric unit
death
hospital readmission
older patients
recurrent events
risk factors
Aged, 80 and over
Hospitalization
Humans
Patient Discharge
Patient Readmission
Prospective Studies
Risk Factors
acute geriatric unit
death
hospital readmission
older patients
recurrent events
risk factors
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
To analyze the impact of the number of hospital readmissions on the risks of further hospital readmission and death after adjustment for a range of risk factors. We performed a multicentre prospective study of the DAMAGE ...
Show more >To analyze the impact of the number of hospital readmissions on the risks of further hospital readmission and death after adjustment for a range of risk factors. We performed a multicentre prospective study of the DAMAGE cohort in the Hauts-de-France region of France. Patients aged 75 and over hospitalized initially in an acute geriatric unit (AGU) were included and followed up for 12 months. The risk of hospital readmission was analyzed using a Cox model, and its extension for recurrent events and the risk of death were analyzed using a Cox model for time-dependent variables. A total of 3081 patients were included (mean (SD) age: 86.4 (5.5)). In the multivariate analysis, the relative risk (95% confidence interval [CI]) of hospital readmission rose progressively to 2.66 (1.44; 5.14), and the risk of death rose to 2.01 (1.23; 3.32) after five hospital admissions, relative to a patient with no hospital readmissions. The number of hospital readmissions during the follow-up period was the primary risk factor and the best predictor of the risk of hospital readmission and the risk of death. Hospital readmission is the primary risk factor for further hospital readmissions and for death in older subjects discharged from an AGU.Show less >
Show more >To analyze the impact of the number of hospital readmissions on the risks of further hospital readmission and death after adjustment for a range of risk factors. We performed a multicentre prospective study of the DAMAGE cohort in the Hauts-de-France region of France. Patients aged 75 and over hospitalized initially in an acute geriatric unit (AGU) were included and followed up for 12 months. The risk of hospital readmission was analyzed using a Cox model, and its extension for recurrent events and the risk of death were analyzed using a Cox model for time-dependent variables. A total of 3081 patients were included (mean (SD) age: 86.4 (5.5)). In the multivariate analysis, the relative risk (95% confidence interval [CI]) of hospital readmission rose progressively to 2.66 (1.44; 5.14), and the risk of death rose to 2.01 (1.23; 3.32) after five hospital admissions, relative to a patient with no hospital readmissions. The number of hospital readmissions during the follow-up period was the primary risk factor and the best predictor of the risk of hospital readmission and the risk of death. Hospital readmission is the primary risk factor for further hospital readmissions and for death in older subjects discharged from an AGU.Show less >
Language :
Anglais
Peer reviewed article :
Oui
Audience :
Internationale
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-04-17T14:39:04Z
2023-04-19T06:33:53Z
2023-04-19T06:33:53Z
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