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Predicting Hospital Readmissions for Pneumonia in a Single Center

Title: Predicting Hospital Readmissions for Pneumonia in a Single Center .
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Name(s): Frehn, Marcelle Laurene, author
Type of Resource: text
Genre: Text
Other
Date Issued: 2018-04-30
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: PURPOSE: In a North Florida hospital, 20% of patients with pneumonia are readmitted within 30 days of discharge, exceeding the national average of 17%. These patients have higher rates of morbidity and mortality. The Centers for Medicare and Medicaid Services reduce Medicare payments when a hospital’s readmission performance for pneumonia falls below the national average. Identifying those patients would improve care and reduce costs. METHODS: A retrospective chart review of 136 adults with a primary discharge diagnosis of pneumonia unspecified organism (ICD-10: J8.9) who were then readmitted within 30 days of discharge from their initial hospitalization was completed for 2017. De-identified data points of age, substance abuse, comorbidities, BMI, total hospital 2017 registrations, original length of stay, and discharge disposition were extracted pre- and post-readmission and were analyzed using the Mann-Whitney U and Chi-square tests. RESULTS: The Mann-Whitney U test revealed significant differences between frequent users of hospital services and readmission; however, there were no significant differences in hospital length of stay, age, or BMI. The Chi-Square test indicated significant associations between substance abuse, discharge location, and the number of comorbidities and readmission. DISCUSSION: The finding that readmissions were more likely with those who were frequent users of hospital services, substance abuse, discharge location and the number of co-morbidities was consistent with the literature. However, the finding that those who were > 65 years of age was not associated with readmission rates was the opposite of what was found in the literature. CONCLUSIONS: In this setting, those younger than 65 years of age were as likely to be readmitted within 30 days than those 65 years of age or older. This may be due to the fact that chronic diseases seem to be occurring in the younger populations. However, generalizability is limited due to the small, single-site sample.
Identifier: FSU_libsubv1_scholarship_submission_1525113603_440f61d0 (IID)
Keywords: Pneumonia, Readmission
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1525113603_440f61d0
Owner Institution: FSU

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Frehn, M. L. (2018). Predicting Hospital Readmissions for Pneumonia in a Single Center . Retrieved from http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1525113603_440f61d0