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At least 19 recordsLinked to original sources
PubMedDate not supplied

[A preliminary study of the factors which lead to patient readmission in psychiatric hospitals].

The readmission of patients to psychiatric hospitals is preoccupying. This occurrence led us to this study which has as objective the identification of the determinant factors of the readmission; the nurse's opinion of what can be done to attenuate and the source of knowledge on the topic. The date collection was carried out with twenty three nurses of three countries: Peru (7), Brazil (9) and Colombia (7). The following factors were evidenced: social-economical, lack of orientation of family members and patient and institutional policy. Activities mentioned were actions directed toward working with families and patients, team work and community work. The sources of information most frequently mentioned were daily practice, reading and events. Some differences were evidenced among the three countries.

Brazil↗
PubMed1999

Patient readmission and support utilization following anterior temporal lobectomy.

The aim of this study was to examine factors precipitating patient readmission, following anterior temporal lobectomy (ATL) for refractory epilepsy. A second aim was to explore the use of hospital outpatient and community support services ('outpatient services') by this patient population. These aims served the more general goal of identifying patients most likely in need of services additional to those routinely provided by our Seizure Surgery Follow-up and Rehabilitation Programme. The medical records of 100 consecutive ATL patients were retrospectively examined for the incidence and diagnoses precipitating acute readmission, and the utilization of additional outpatient services. Twenty-one patients (21%) required readmission post-ATL, totalling 47 readmissions between them. Psychiatric diagnoses were the most prevalent (53%), including anxiety, depression and/or post-ictal psychosis. Epileptological diagnoses were the other main precipitant (28%). Additional outpatient services were predominantly utilized for ongoing psychological support. Of the 21 patients requiring readmission, 10(10%) also needed additional outpatient services. These patients were predominantly female or unemployed, in contrast to male or employed patients who tended to require readmission only. Seventeen patients (17%) were maintained within the community using additional outpatient services only. Characteristics of these patients included disrupted family dynamics, limited social networks, and/or a psychiatric history. These patients were also more frequently beyond the 24-month follow-up period of the programme. A profile of patients most in need of additional support services can be constructed to assist team planning of proactive management strategies for the rehabilitation phase of ATL.

Acute Disease↗
PubMed2003

[The profile of elderly patients' readmissions in a general hospital located in Marília/SP].

UNLABELLED: This is a descriptive study about the readmissions of elderly patients in a general hospital located in the city of Marília, São Paulo, Brazil, in 1996 and 1997. OBJECTIVES: characterizing the readmission profile with respect to the following variables: gender, age, marital status, origin, profession, main and secondary diagnoses, time of hospitalization, type of discharge, financing source, type of procedure and interval between hospitalizations; analyzing the nursing notes in the patients' records about health conditions at the time of admission and discharge. A database about admissions was compiled by using the Epi-Info 6 software. The research population consisted of two hundred sixty-two elderly patients (53.8% of whom were female), who presented 502 readmissions; 32.8% of these occurred once and 55.9% took place in less than 60 days. The patients' mean age was 73.2 years and the average time of hospitalization was 5.49 days. Chronic respiratory diseases predominated and 55.8% of the readmitted patients presented a secondary diagnosis. The content analysis of the notes identified the nursing routine and revealed only some of the aspects concerning the elderly persons' conditions at the time of admission and discharge.

Adolescent↗
PubMed1983

Patient readmission to critical care units during the same hospitalization at a community teaching hospital.

The incidence and cause of patient readmission, during the same hospitalization, to a critical care unit was studied in an urban community teaching hospital. During a 12-month period, there were 1069 admissions to the critical care units with 640 patients being at risk for readmission. The readmission rate was 11.7%. Prematurity of transfer out of a critical care unit may have been a contributing factor in 4.2% of the readmissions. Cardiac and respiratory problems were the major contributing causes for readmission. Improved communication between physicians, nurses and therapists could probably decrease premature transfers that contribute to readmission. Enhanced awareness of need for, and ability to provide aggressive pulmonary toilet may diminish the incidence of respiratory relapse. More data is needed regarding acceptable readmission rates; prospective studies are needed to better define the patient population at risk.

Heart Diseases↗
PubMed1998

[Patient readmission. Medical diagnosis and risk factors of emergency readmission within 14 days].

Every tenth patient discharged from a medical department at a general hospital in Sweden during the period, 1992-1994, required emergency re-admission within 14 days. The risk of re-admission appeared to be unrelated to the duration of hospitalisation before discharge or to the occupancy rate. However, a high risk of emergency re-admission was found to be associated with four diagnoses: acute myocardial infarction, angina pectoris, heart failure and chronic obstructive lung disease. Plans are under way to launch a multicentre intervention study of emergency re-admission to departments of medicine.

Cardiovascular Diseases↗
PubMed1995

Longer episodes of community residential care reduce substance abuse patients' readmission rates.

OBJECTIVE: The study focuses on whether substance abuse patients who enter a community residential facility (CRF) after discharge from inpatient care obtain more outpatient mental health care and have lower readmission rates than comparable patients discharged directly to the community. METHOD: A national sample of substance abuse patients (N = 5,176; 99% men) referred to CRFs after inpatient substance abuse care is compared to a matched sample of patients (N = 5,176; 99% men) discharged to the community. RESULTS: Compared with controls, CRF patients were more likely to obtain outpatient mental health aftercare and obtained more intensive care. Patients with longer episodes of CRF care had lower 6-month and 1-year readmission rates than patients who dropped out of CRFs and than matched controls. These findings held for patients who had only alcohol diagnoses, patients who had drug diagnoses and patients who had psychiatric diagnoses in addition to their substance abuse disorders. Longer length of CRF care and more outpatient mental health care were significant predictors of lower readmission rates after other risk factors for readmission were controlled. CONCLUSIONS: Longer episodes of community residential care can contribute to better outcomes for substance abuse patients, in part by maintaining patients' involvement in outpatient mental health care. CRFs may play an important role in the continuum of substance abuse patients' care.

Activities of Daily Living↗
PubMed1996

The effect of a nurse-managed CHF clinic on patient readmission and length of stay.

Hospital readmission for exacerbation of symptoms of Congestive Heart Failure (CHF) is a major home healthcare problem and expense. To address this problem and curb the increasing expense and patient lifestyle disruption, a group of staff nurses at the Medical University of South Carolina Medical Center developed a nurse-managed clinic to follow all patients with CHF after discharge. Within 6 months of the clinic's operation, readmissions of these patients decreased by 4%, and the length of stay decreased by 1.6 days.

Aftercare↗
PubMed2000

Adequacy of home care and hospital readmission for elderly congestive heart failure patients.

Readmission to acute care facilities is a frequent and costly problem among older adults with congestive heart failure (CHF). The study reported in this article tested the hypothesis that adequate home care, operationalized as patient-perceived adequacy of formal and informal assistance, is associated with lower readmission to acute care facilities. The study followed 253 elderly (age 65 and older) Medicare patients discharged to their homes after hospitalization for CHF, through structured telephone interviews at two, six, 10, and 14 weeks postdischarge. Study findings point to the importance of home care in reducing the high risk of readmission among elderly patients. The findings raise implications for practice, policy, and research.

Aged↗
PubMed1986

The readmission of psychotic patients to a general hospital psychiatry unit.

This article describes a retrospective study of patient readmissions to a psychiatric unit in a large teaching hospital. A cohort of 150 patients was identified and their demographic and clinical characteristics, their reason for admission, and their rehospitalization patterns examined. Patterns of readmission for the cohort do not suggest a "revolving door" syndrome. The role of the psychiatric unit of a general hospital in the rehospitalization of psychotic patients is discussed.

Adolescent↗
PubMed1994

Do follow-up home visits by military nurses of chronically ill medical patients reduce readmissions?

The study included patients admitted three times or more. Patients were 45 years of age or older and lived within 25 miles of the hospital. Patients were randomly assigned to a control group and those that received home visits. Patients were visited by the RN within 7 days after discharge. Each patient had nine visits over the next 3 months. Seventy-five patients participated in this study. The average age of the sample was 66.12 +/- 16 years. There was an equal number of men and women in the two groups. The nurses made 130 home visits. During these visits, 38 interventions were accomplished. These interventions allowed the patients to remain at home. Prior to this study, the incidence of readmission for these patients was notable. This study showed that home visits with appropriate interventions by military staff nurses reduces the incidence of rehospitalization.

Aged↗
PubMed2002

Effect of a heart failure clinic on survival and hospital readmission in patients discharged from acute hospital care.

Ambulatory care by physicians especially devoted to the management of heart failure (HF) has been reported to have beneficial effects. The aim of this work was to assess the effect of outpatient management at a HF clinic, as compared with care by the usual assistant physician, on prognosis of HF patients. In this non-randomised study, we prospectively followed 339 patients after a hospitalisation index for HF, in order to compare prognosis between two groups of HF patients according to the ambulatory assistance setting: either a specific outpatient clinic (n=157) or the usual assistant physician (n=182). The outcomes assessed were all-cause death or cardiac-cause rehospitalisation during the first month after discharge and survival over the longer term. The risk of dying or being readmitted during the first month after discharge was significantly lower in patients followed at the HF clinic (adjusted odds ratio 0.23; 95% CI 0.12-0.46). Patients followed in the HF clinic also had an independent significantly lower hazard of dying during a longer-term follow up of average length 373 days (adjusted hazard ratio 0.52; 95% CI 0.34-0.81). The results support the fact that a multidisciplinary and permanently available medical staff might be of relevance in improving outcomes in HF patients.

Aged↗
PubMed2002

Adherence to statin treatment and readmission of patients after myocardial infarction: a six year follow up study.

OBJECTIVE: To investigate patients' adherence to statin treatment prescribed following their first myocardial infarction (MI) and to estimate the effect of adherence to statins on recurrence of MI and all cause mortality. DESIGN: Cohort study using a record linkage database. SETTING: Tayside, Scotland, UK. PATIENTS: Patients who experienced their first MI between January 1990 and November 1995. MAIN OUTCOME MEASURES: Percentage of statin use and adherence to statins by patients after an MI and the relative risk of hospitalisation for recurrent MI. The effect of adherence on all cause mortality was also examined. The covariates used were age, sex, socioeconomic deprivation, serum cholesterol concentration, diabetes mellitus, cardiovascular drug use, and other hospitalisations. RESULTS: Of 5590 patients who experienced an incident MI, 717 (12.8%) experienced at least one further MI. Only 7.7% of patients used statins after an MI during the study period. Compared with those not taking statins, those who had 80% or better adherence to statin treatment had an adjusted relative risk of recurrent MI of 0.19 (95% confidence interval (CI) 0.08 to 0.47) and all cause mortality of 0.47 (95% CI 0.22 to 0.99). There was no significant reduction in either end point for those who were less than 80% adherent to statins. CONCLUSIONS: Despite the infrequent use of statin during the study period, good adherence to statin treatment was associated with lower risk of recurrent MI.

Adult↗