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Incidence and Characteristics Associated with Hospital Readmission after Discharge to Home Hospice.

08:00 EDT 12th September 2019 | BioPortfolio

Summary of "Incidence and Characteristics Associated with Hospital Readmission after Discharge to Home Hospice."

Home hospice is designed to provide comfort to patients at the end of their life and hospital readmission is incongruent with this goal. The purpose of this study was to investigate the incidence of and characteristics associated with hospital readmissions from home hospice over a two-year period. This was a retrospective cohort study of 705 inpatients discharged from a quaternary academic medical center to home hospice from January 1, 2016 to December 31, 2017. Measures: The primary outcome was incidence of hospital readmission after discharge to home hospice. Multivariate regression with stepwise forward selection was used to identify characteristics associated with readmission. The incidence of readmission was found to be 10.50% ( = 74), and the median days from discharge to readmission were 32.50 days (interquartile range = 14.00, 75.00). Reasons for readmission were: unanticipated new medical issue ( = 33, 44.59%), uncontrolled symptoms ( = 25, 33.78%), misunderstanding of hospice status ( = 12, 16.22%), and caregiver distress ( = 4, 5.41%). The following characteristics were associated with readmission: female versus male (odds ratio [OR] = 1.96; 95% confidence interval [CI]: 1.16-3.32), non-white versus white (OR = 2.40; 95%
CI:
1.36-4.24), and hospice diagnosis of cardiac disease versus all other diagnoses (OR = 4.40; 95%
CI:
2.06-9.37). Compared with prior studies, our findings showed a lower incidence of readmission, 10.50%, from home hospice. In addition, those who are female, non-white, or have a hospice diagnosis of cardiac disease are more likely to be readmitted.

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This article was published in the following journal.

Name: Journal of palliative medicine
ISSN: 1557-7740
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