Article Figures & Data
Tables
Diagnosis Primary admission (N=200) First readmission (N=200) Second readmission (n=37) Cardiac Acute pulmonary embolism 2 (1.0) 3 (1.5) 1 (2.7) Venous thromboembolism; other than pulmonary embolism 0 (0.0) 2 (1.0) 1 (2.7) Uncontrolled blood pressure 1 (0.5) 1(0.5) 0 (0.0) Uncontrolled atrial fibrillation 0 (0.0) 0 (0.0) 1 (2.7) Acute decompensated heart failure 33 (16.5) 24 (12.0) 6 (16.2) Cardiac syncope 1 (0.5) 0 (0.0) 0 (0.0) Pulmonary Bronchial asthma exacerbation 4 (2.0) 3 (1.5) 1 (2.7) Community acquired pneumonia 25 (12.5) 3 (1.5) 0 (0.0) Hospital acquired pneumonia 2 (1.0) 44 (22.0) 7 (18.9) Chronic obstructive pulmonary disease exacerbation 8 (4.0) 4 (2.0) 0 (0.0) Bronchiectasis exacerbation 2 (1.0) 2 (1.0) 1 (2.7) Aspiration pneumonia 9 (4.5) 4 (2.0) 1 (2.7) Gastrointestinal Upper gastrointestinal bleeding 2 (1.0) 7 (3.5) 2 (5.4) Lower gastrointestinal bleeding 1 (0.5) 1 (0.5) 0 (0.0) Gastroenteritis; other than Clostridium difficile 2 (1.0) 2 (1.0) 0 (0.0) Clostridium difficile 2 (1.0) 6 (3.0) 0 (0.0) Bowel obstruction 1 (0.5) 0 (0.0) 2 (5.4) Pancreatitis 1 (0.5) 1 (0.5) 0 (0.0) Colitis 1 (0.5) 1 (0.5) 0 (0.0) Hepatocellular carcinoma 2 (1.0) 2 (1.0) 0 (0.0) Deranged liver enzymes 1 (0.5) 1 (0.5) 0 (0.0) Neurological Acute stroke 13 (6.5) 6 (3.0) 0 (0.0) Meningitis 1 (0.5) 0 (0.0) 0 (0.0) Myasthenia gravis 1 (0.5) 1 (0.5) 0 (0.0) Seizure 0 (0.0) 2 (1.0) 0 (0.0) Myelitis 0 (0.0) 2 (1.0) 0 (0.0) Hematological Vaso-occlusive crises 2 (1.0) 2 (1.0) 0 (0.0) Pancytopenia 0 (0.0) 1 (0.5) 0 (0.0) Malignancy related admission 2 (1.0) 2 (1.0) 0 (0.0) Renal Urinary tract infection 34 (17.0) 20 (10.0) 7 (18.9) Acute kidney injury 21 (10.5) 24 (12.0) 4 (10.8) Dialysis access related complication 12 (6.0) 8 (4.0) 1 (2.7) Endocrinological Diabetic ketoacidosis 1 (0.5) 1 (0.5) 0 (0.0) Adrenal insufficiency 0 (0.0) 1 (0.5) 0 (0.0) Electrolyte’s disturbance Hyponatremia 6 (3.0) 9 (4.5) 0 (0.0) Hypernatremia 2 (1.0) 3 (1.5) 0 (0.0) Hyperkalemia 1 (0.5) 0 (0.0) 0 (0.0) Hypercalcemia 1 (0.5) 1 (0.5) 0 (0.0) Feeding related diagnosis 3 (1.5) 6 (3.0) 1 (2.7) Values are presented as numbers and percentages (%).
- Table 2
- Comparing numbers of readmissions with demographics, comorbidities, and functional status.
Variables Single readmission (n=163) Multiple readmissions (n=37) P-values Gender Male 81 (49.7) 16 (43.2) 0.300 Female 82 (50.3) 21 (56.7) Diabetes mellitus Yes 113 (69.3) 29 (78.4) 0.186 No 50 (30.7) 8 (21.6) Hypertension Yes 131 (80.4) 29 (78.4) 0.470 No 32 (19.6) 8 (21.6) Heart failure with reduced ejection fraction Yes 25 (15.3) 11 (29.7) 0.040 No 138 (84.7) 26 (70.3) Heart failure with preserved ejection fraction Yes 36 (22.1) 3 (8.1) 0.037 No 127 (77.9) 34 (91.9) Stroke Yes 42 (25.8) 7 (18.9) 0.258 No 121 (74.2) 30 (81.1) Atrial fibrillation Yes 20 (12.3) 4 (10.8) 0.532 No 143 (87.7) 33 (89.2) Chronic kidney disease is not on Renal replacement therapy Yes 40 (24.5) 7 (18.9) 0.311 No 123 (75.5) 30 (81.1) End stage renal disease on Renal replacement therapy Yes 15 (9.2) 1 (2.7) 0.164 No 148 (90.8) 36 (97.3) Interstitial lung disease Yes 5 (3.1) 1 (2.7) 0.693 No 158 (96.9) 36 (97.3) Bronchial asthma Yes 24 (14.7) 5 (13.5) 0.543 No 139 (85.3) 32 (86.5) Chronic obstructive pulmonary disease Yes 13 (8.0) 6 (16.2) 0.112 No 150 (92.0) 31 (83.8) Thyroid disease Yes 12 (7.4) 5 (13.5) 0.184 No 151 92.6) 32 (86.5) Dementia Yes 24 (14.7) 6 (16.2) 0.495 No 139 (85.3) 31 (83.8) Connective tissue disease Yes 5 (3.1) 1 (2.7) 0.693 No 158 (96.9) 36 (97.3) Ischemic heart disease Yes 17 10.4) 5 (13.5) 0.384 No 146 (89.6) 32 (86.5) Renal transplant Yes 8 (4.9) 1 (2.7) 0.479 No 155 (95.1) 36 (97.3) Bronchiectasis Yes 4 (2.4) 1 (2.7) 0.645 No 159 97.5) 36 (97.3) Venous thromboembolism Yes 5 (3.1) 2 (5.4) 0.382 No 158 (96.9) 35 (94.6) Malignancy Yes 11 (6.7) 3 (8.1) 0.498 No 152 (93.2) 34 (91.9) Depression Yes 2 (1.2) 1 (2.7) 0.505 No 161 (98.8) 36 (97.3) Values are presented as numbers and percentages (%).
Variables Single Multiple P-values Age 68.44±16.36 74.49±9.14 0.002 Ejection fraction 52.76±6.14 48.03±12.07 <0.001 Body mass index 28.83±8.84 26.4±7.34 0.068 Admission length of stay 7.8±6.9 7.7±5.8 0.459 Number of discharge medications 10.56±4.43 10.43±3.76 0.434 Values are presented as means ± standard deviation (SD).
- Table 4
- Multivariate regression analysis for demographic and clinical parameters associated with multiple readmissions.
Parameters P-values ORs 95% CIs Age 0.030 1.057 1.005-1.108 Gender 0.213 2.052 0.663-6.357 Body mass index 0.578 0.959 0.826-1.112 Weight 0.643 0.985 0.924-1.050 Functional status 0.571 0.699 0.202-2.411 Diabetes mellitus 0.094 3.133 0.824-11.912 Hypertension 0.409 0.409 0.162-2.100 Ejection fraction 0.008 0.925 0.873-0.980 Old stroke 0.035 0.236 0.062-0.903 Atrial fibrillation 0.293 0.395 0.070-2.232 Chronic kidney disease 0.907 0.925 0.248-3.449 End-stage renal disease 0.393 0.322 0.024-4.346 Interstitial lung disease 0.556 0.250 0.002-25.390 Bronchial asthma 0.737 1.290 0.292-5.708 Chronic obstructive pulmonary disease 0.247 2.663 0.507-13.999 Neurological disease 0.903 1.111 0.206-5.994 Connective tissue disease 0.729 0.590 0.030-11.668 Thyroid disease 0.520 1.622 0.372-7.084 Dementia 0.347 0.480 0.104-2.214 Ischemic heart disease 0.214 2.784 0.553-14.002 Kidney transplant 0.823 0.729 0.046-11.569 Bronchiectasis 0.681 0.572 0.040-8.154 Venous thromboembolism 0.189 5.565 0.431-71.886 Malignancy 0.300 2.586 0.429-15.599 Depression 0.049 1.396 0.072-26.957 ORs: odds ratios, CI: confidence interval
In this issue
Jump to section
Related Articles
Cited By...
- No citing articles found.