title: Predicting non-elective hospital readmissions: a multi-site study. Department of Veterans Affairs Cooperative Study Group on Primary Care and Readmissions.
abstract: OBJECTIVE
  To determine clinical and patient-centered factors predicting non-elective hospital readmissions.
  
  
  METHODS
  Secondary analysis from a randomized clinical trial.
  
  
  METHODS
  Nine VA medical centers.
  
  
  METHODS
  Patients discharged from the medical service with diabetes mellitus, congestive heart failure, and/or chronic obstructive pulmonary disease (COPD).
  
  
  METHODS
  Non-elective readmission within 90 days.
  
  
  RESULTS
  Of 1378 patients discharged, 23.3% were readmitted. After controlling for hospital and intervention status, risk of readmission was increased if the patient had more hospitalizations and emergency room visits in the prior 6 months, higher blood urea nitrogen, lower mental health function, a diagnosis of COPD, and increased satisfaction with access to emergency care assessed on the index hospitalization.
  
  
  CONCLUSIONS
  Both clinical and patient-centered factors identifiable at discharge are related to non-elective readmission. These factors identify high-risk patients and provide guidance for future interventions. The relationship of patient satisfaction measures to readmission deserves further study.
authors: Richard L. Roudebush Veterans Affairs Medical Center (11H), 1481 W. Tenth St., Indianapolis, IN 46202, USA. david@hsrd.va.iupui.edu
authors: D M
authors: DM
authors: Smith
authors: A
authors: A
authors: Giobbie-Hurder
authors: M
authors: M
authors: Weinberger
authors: E Z
authors: EZ
authors: Oddone
authors: W G
authors: WG
authors: Henderson
authors: D A
authors: DA
authors: Asch
authors: C M
authors: CM
authors: Ashton
authors: J R
authors: JR
authors: Feussner
authors: P
authors: P
authors: Ginier
authors: J M
authors: JM
authors: Huey
authors: D M
authors: DM
authors: Hynes
authors: L
authors: L
authors: Loo
authors: C E
authors: CE
authors: Mengel
mesh_terms: D003920:Diabetes Mellitus; D006297:Health Services Accessibility; D006333:Heart Failure; D006801:Humans; D008173:Lung Diseases, Obstructive; D015999:Multivariate Analysis; D010359:Patient Readmission / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D011788:Quality of Life; D012307:Risk Factors; D014481:United States