Hospital readmission after XXXX .

@entity1 @entity303 @entity173 @entity933 @entity943 @entity130
INTRODUCTION: Readmission to the hospital following a @entity173 is common, often involves an adverse event, and strains an already overburdened health care system. OBJECTIVES: To assess the rate of 30-day readmission to the hospital after discharge for care of @entity173 . A secondary objective was measurement of the 30-day mortality rate for those @entity1 readmitted versus those @entity1 not readmitted to the hospital after discharge. MATERIALS AND METHODS: Study design was a retrospective review of registry data comparing readmitted @entity1 to those not readmitted after @entity173 . Setting was a university affiliated level 3 @entity130 center. @entity1 : 1,081 @entity1 aged 65 and older. Measurements: rate of readmission, rate of mortality, predictors of readmission. RESULTS: 129 @entity1 (11.9  %) were readmitted to the hospital within 30  days of their initial discharge date. The primary causes of readmission were surgical in nature for 24/129 (18.6  %) @entity1 and 105/129 (81.4  %) were readmitted for medical or other reasons. Twenty-four (18.6  %) @entity1 who were readmitted died during readmission. The one-year mortality rate for @entity1 readmitted within 30  days was 56.2 vs. a 21.8  % 1-year mortality rate for those @entity1 not readmitted (p  <  0.0001). Independent predictors of readmission were age >85 (OR  =  1.52; p  =  0.03), time to surgery >24  h (OR  =  1.50; p  =  0.05), Charlson score >= 4 (OR  =  1.70; p  =  0.04), @entity933 (OR  =  1.65; p  =  0.01), @entity303 (OR  =  1.61; p  =  0.01), history of @entity943 with pacemaker placement (OR  =  1.75; p  =  0.02), and presence of a pre-op @entity943 (OR  =  1.62; p  =  0.02). CONCLUSION: Readmission after @entity173 is harmful and undesirable-18.6  % of readmitted @entity1 died during their readmission and the average length of stay was 8.7  days. Approximately one of every six readmissions was identified as potentially preventable with interventions.
