Comorbidities Often the Cause of Short-Term Hospital Readmissions — Physician’s First Watch
Comorbidities Often the Cause of Short-Term Hospital Readmissions
By Joe Elia
A hospitalized patient's comorbidities often govern his or her risk for 30-day readmission, a BMJ study finds.
Researchers examined some 11,000 discharges from a U.S. tertiary-care hospital spanning 1 year. They found that 22% were readmitted within 30 days; almost a third of the readmissions were seen as avoidable.
Patients with a cancer comorbidity were at almost double the risk for avoidable readmission, and those with the comorbidities of chronic heart failure or chronic kidney disease were also at higher risk. The most likely readmission diagnoses for the entire cohort were neoplasm, infection, heart failure, and liver and gastrointestinal disorders.
The authors say that care transitions should not neglect a patient's underlying comorbidities, and that particular attention should be paid to those with cancer, heart failure, and renal failure.