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J Palliat Med. 2012 Dec;15(12):1356-61. doi: 10.1089/jpm.2012.0259. Epub 2012 Oct 9.

30-day readmissions among seriously ill older adults.

Author information

1
University of Southern California, Leonard Davis School of Gerontology, Los Angeles, California 90089-0191, USA. Enguidan@usc.edu

Abstract

BACKGROUND:

Inpatient palliative consultation are generally provided to seriously ill hospitalized patients with the intent to alleviate pain and suffering and develop a plan of care for the patient. Although numerous benefits of this service have been documented, little is known about hospital readmission rates and factors associated with these readmissions.

OBJECTIVE:

Our aim was to investigate factors associated with 30-day hospital readmission among patients receiving a consultation from an inpatient palliative care (ICP) team.

DESIGN:

We conducted a retrospective cohort study.

SETTING/SUBJECTS:

Data from 408 managed care patients 65 years old and older were collected in 2007-2009 following an IPC consultation and subsequent hospital discharge.

MEASUREMENTS:

IPC and medical service use records were utilized.

RESULTS:

Among IPC patients, 10% of those discharged from the hospital were readmitted within 30 days. Factors associated with hospital readmission included being discharged from the hospital with no care in the home or to a nursing facility. Receipt of hospice or home-based palliative care post-discharge was associated with significantly lower odds of hospital readmission.

CONCLUSIONS:

This study found that receipt of palliative care following hospital discharge was an important factor in reducing 30-day hospital readmissions. Further study is needed to evaluate the effectiveness of longitudinal palliative care models in reducing 30-day hospital readmissions among seriously ill patients.

PMID:
23045990
DOI:
10.1089/jpm.2012.0259
[Indexed for MEDLINE]

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