Decade-Long Trends in 30-Day Rehospitalization Rates After Acute XXXX .

@entity1 @entity712 @entity740 @entity583 @entity1455
BACKGROUND: There are limited data available describing relatively contemporary trends in 30-day rehospitalizations among @entity1 who survive hospitalization after an @entity583 ( @entity583 ) in the community setting. We examined decade-long (2001-2011) trends in, and factors associated with, 30-day rehospitalizations in @entity1 discharged from 3 central Massachusetts hospitals after @entity583 . METHODS AND RESULTS: Residents of the Worcester, MA, metropolitan area discharged after @entity583 from 3 central Massachusetts hospitals on a biennial basis between 2001 and 2011 comprised the study population (N=4810). Logistic regression analyses were used to examine the association between selected factors and 30-day rehospitalizations. The average age of this population was 69 years, 42% were @entity1 , and 92% were white. During the years under study, 18.5% of @entity1 were rehospitalized within 30 days after hospital discharge. Crude 30-day rehospitalization rates decreased from 20.5% in 2001-2003 to 15.8% in 2009-2011. After adjusting for several @entity1 characteristics, there was a reduced odds of being rehospitalized in 2009-2011 (odds ratio 0.74, 95% CI 0.61-0.91) compared with 2001-2003; this trend was slightly attenuated after further adjustment for hospital treatment practices. Female sex, having previously diagnosed @entity712 and @entity740 , and the development of in-hospital @entity1455 and @entity712 were associated with an increased odds of being rehospitalized. CONCLUSIONS: While the likelihood of subsequent short-term rehospitalizations remained frequent, we observed an encouraging decline during the most recent years under study. Several high-risk groups were identified for purposes of heightened surveillance and intervention efforts to reduce the likelihood of being readmitted.
