Hospital readmission among older adults with congestive heart failure

Islam, Tasneem, O'Connell, Beverly and Lakhan, Prabha (2013) Hospital readmission among older adults with congestive heart failure. Australian Health Review, 37 3: 362-368. doi:10.1071/AH12042

Author Islam, Tasneem
O'Connell, Beverly
Lakhan, Prabha
Title Hospital readmission among older adults with congestive heart failure
Journal name Australian Health Review   Check publisher's open access policy
ISSN 0156-5788
Publication date 2013-06
Sub-type Article (original research)
DOI 10.1071/AH12042
Volume 37
Issue 3
Start page 362
End page 368
Total pages 7
Place of publication Australia
Publisher C S I R O Publishing
Collection year 2014
Language eng
Formatted abstract
Introduction. To examine the factors associated with unplanned readmission among older adults with congestive heart failure (CHF) within 28 days of discharge from an index admission, within a large Australian health service.
Methods. Using a comparative cohort design, a multivariate logistic regression model was used to compare readmitted patients with non-readmitted patients and identify risk factors associated with readmission.
Results. Significant risk factors identified were male gender, numerous diagnoses, length of stay 3 days or longer and patients being admitted from acute, subacute or aged-care facilities.
Conclusions. The high risk of patients being readmitted from acute, subacute and aged-care services requires further review as these readmissions may be avoidable. It may also be useful to develop a readmission risk screening tool so that patients at risk of readmission can be identified.

What is known about this topic? Older adults with CHF are likely to experience multiple readmissions to hospital. There have been several studies conducted on hospital readmissions; however, generalising the findings is problematic due to the use of variable definitions of what constitutes a readmission.
What does this paper add? This paper addresses the absence of Australian research comparing groups of older patients with CHF who are readmitted to hospital with those who are not readmitted. It also adopts one of the more frequently used definitions of readmission to aid in future comparability of research.
What are the implications for practice? Further work is necessary to improve discharge planning and effectively manage chronic illnesses such as CHF in patients’ homes. It may be useful to develop a readmission risk screening tool for staff of inpatient medical wards so that these at-risk patients can be identified before discharge.
Keyword Elderly-patients
Systolic function
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 6 times in Scopus Article | Citations
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