72-hour hospital readmission of older people after hospital discharge with home care services |
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| Authors: | María Florencia Cunha Ferré Cristian Matías Gallo Acosta Adriana Ruth Dawidowski Mónica Beatríz Senillosa Silvana María Scozzafava Javier Matías Saimovici |
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| Institution: | 1. Home Care Services Section of the Internal Medicine Service, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina;2. maria.cunha@hospitalitaliano.org.ar;4. Epidemiology Section of Research Department, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina |
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| Abstract: | In this retrospective cohort study in Argentina, risk factors for hospital readmission of older adults, within 72 hours after hospital discharge with home care services, were analyzed. Fifty-three percent of unplanned emergency room visits within 72 hours after hospital discharge resulted in hospital readmissions, 65% of which were potentially avoidable. By multivariate logistic regression, low functionality, pressure ulcers, and age over 83 years predicted hospital readmission among emergency room attendees. It is important to identify and analyze barriers in current home care services and the high-risk population of hospital readmission to improve the strategies to avoid adverse outcomes. |
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| Keywords: | Early readmission home care services hospital readmission patient discharge risk of readmission |
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