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Incidence and main factors associated with early unplanned hospital readmission among French medical inpatients aged 75 and over admitted through emergency units
Author(s)Isabelle Lanièce, Pascal Couturier, Moustapha Drame
Journal titleAge and Ageing, vol 37, no 4, July 2008
Pagespp 416-422
Sourcehttp://www.ageing.oupjournals.org
KeywordsAdmission [hospitals] ; Accident & emergency depts ; Over 70s ; Correlation ; France.
AnnotationAmong older patients, readmission in the month following hospital discharge is a frequent occurrence which involves a risk of functional decline, particularly among frail subjects. In this study, data from 1000 out of 1306 inpatients at nine hospitals in France were analysed. Early unplanned readmission occurred in 14.2% of inpatients and was not related to sociodemographic characteristics, comorbidity burden or cognitive impairment. Pressure sores, poor overall condition, recent loss of ability for self-feeding, and previous admission to hospital during the last three months were found to be risk factors, while slight disorders appeared to be negatively associated. Markers of frailty (poor overall condition, pressure sores, prior hospitalisation) or severe disability (for self-feeding) were the most important predictors of early readmissions in this group of older inpatients. Early identification could facilitate preventive strategies for this at-risk group. (RH).
Accession NumberCPA-080808026 A
ClassmarkLD:QKH: LD6: BBK: 49: 765

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