Chakrabarti, Biswajit, Lane, Steven, Jenks, Tom, Higgins, Joanne, Kanwar, Elizabeth, Allen, Martin and Wotton, Dan
(2021)
Predictors of 30-day readmission following hospitalisation with community-acquired pneumonia.
BMJ OPEN RESPIRATORY RESEARCH, 8 (1).
e000883-.
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Abstract
<h4>Background</h4>There is a paucity of UK data to aid healthcare professionals in predicting which patients hospitalised with community-acquired pneumonia (CAP) are at greatest risk of 30-day readmission and to determine which readmissions may occur soonest.<h4>Methods</h4>An analysis of CAP cases admitted to nine UK hospitals participating in the Advancing Quality Pneumonia Programme.<h4>Results</h4>An analysis was performed of 12 157 subjects hospitalised with CAP in the Advancing Quality Programme Database. 26% of those discharged were readmitted within 30 days with readmission predicted by comorbidity including non-metastatic cancer, diabetes with complications and chronic kidney disease. 41% and 66% of readmissions occurred within 7 and 14 days of discharge, respectively. Patients readmitted within 14 days were more likely to have metastatic cancer (6.6% vs 4.5%; p=0.03) compared with those readmitted at 15-30 days.<h4>Conclusions</h4>A quarter of patients hospitalised for CAP are readmitted within 30 days; of those, two-thirds are readmitted within 2 weeks. Further research is required to determine whether such readmissions might be preventable through imple menting measures including in-hospital cross-specialty comorbidity management, convalescence in intermediate care, targeted rehabilitation and advanced care planning.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | pneumonia, respiratory infection |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 11 Oct 2022 09:29 |
| Last Modified: | 09 Feb 2024 03:58 |
| DOI: | 10.1136/bmjresp-2021-000883 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3165320 |
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