Send to

Choose Destination
Gen Hosp Psychiatry. 2018 Jul - Aug;53:44-51. doi: 10.1016/j.genhosppsych.2018.05.003. Epub 2018 May 4.

Patient and health system factors associated with hospital readmission in older adults without cognitive impairment.

Author information

Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke (QC), Canada and Charles-Le Moyne Hospital Research Center, Greenfield Park, (QC), Canada. Electronic address:
Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, (QC), Canada. Electronic address:
Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, (QC), Canada.
Department of Psychiatry, McGill University, Montreal, (QC), Canada and Douglas Mental Health University Institute Research Centre, Montreal, (QC), Canada. Electronic address:



To study the factors associated with hospital readmission.


Data used in this study came from a population-based survey of older adults without cognitive impairment. Cox regression was used to assess the factors associated with readmission within a 2-year follow-up period. According to Andersen's model of healthcare seeking behavior, study variables considered included predisposing, enabling and need factors at the individual and health system levels.


Of the 433 participants with an index hospitalization, 97% were discharged with a physical and 3% with a psychiatric disorder. During follow-up, 29% (128/433) were readmitted with a median time to readmission reaching 83 days. The risk of readmission was associated with the following: age, marital status, attraction index of the region of residence for psychiatric services, the presence of an anxio-depressive and other mental disorder, as well as a disorder of the musculoskeletal system. The presence of a physical and psychiatric comorbidity was also associated with readmission.


Post-discharge follow-up of vulnerable populations with a history of mental disorders and improved availability of psychiatric services in the community are associated with a reduced risk of readmission.


Comorbidity; Health system; Older adults; Patient factors; Physical disorders; Psychiatric disorders; Readmission

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center