30-day readmissions among seriously ill older adults.

Abstract:

BACKGROUND:Inpatient palliative consultation are generally provided to seriously ill hospitalized patients with the intent to alleviate pain and suffering and develop a plan of care for the patient. Although numerous benefits of this service have been documented, little is known about hospital readmission rates and factors associated with these readmissions. OBJECTIVE:Our aim was to investigate factors associated with 30-day hospital readmission among patients receiving a consultation from an inpatient palliative care (ICP) team. DESIGN:We conducted a retrospective cohort study. SETTING/SUBJECTS:Data from 408 managed care patients 65 years old and older were collected in 2007-2009 following an IPC consultation and subsequent hospital discharge. MEASUREMENTS:IPC and medical service use records were utilized. RESULTS:Among IPC patients, 10% of those discharged from the hospital were readmitted within 30 days. Factors associated with hospital readmission included being discharged from the hospital with no care in the home or to a nursing facility. Receipt of hospice or home-based palliative care post-discharge was associated with significantly lower odds of hospital readmission. CONCLUSIONS:This study found that receipt of palliative care following hospital discharge was an important factor in reducing 30-day hospital readmissions. Further study is needed to evaluate the effectiveness of longitudinal palliative care models in reducing 30-day hospital readmissions among seriously ill patients.

journal_name

J Palliat Med

authors

Enguidanos S,Vesper E,Lorenz K

doi

10.1089/jpm.2012.0259

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1356-61

issue

12

eissn

1096-6218

issn

1557-7740

journal_volume

15

pub_type

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