title: [Hospital readmission rate and associated factors among health services enrollees in Colombia].
abstract: Hospital readmissions are common and expensive, and there is little information on the problem in Colombia. The objective was to determine the frequency of 30-day all-cause hospital readmissions and associated factors. This was a retrospective analytical cohort study of 64,969 hospitalizations from January 2008 to January 2009 in 47 Colombian cities. 6,573 hospital readmissions, prevalence: 10.1% (men 10.9%, women 9.5%), 44.7% > 65 years of age. Hospital readmissions was associated with higher mortality (5.8% vs. 1.8%). There was an increase in the Hospital readmissions rate in patients with diseases of the circulatory system. Hospital readmissions was more likely in hematological diseases and neoplasms. Mean length of stay during the first readmission was 7 days in patients that were readmitted and 4.5 in those without readmission. Greater total cost of hospital readmissions (USA 21,998,275): 15.8% of the total cost of hospitalizations. Higher prevalence rates in referred patients (18.8%) and patients from the outpatient clinic (13.7%). Hospital readmissions is common and is associated with longer length of hospital stay and higher mortality and cost. Increased risk of hospital readmissions in men > 65 years, patients referred from other institutions, and in hematological diseases and neoplasms.
authors.affiliation: Clínica Colsanitas, Bogotá, Colombia.
authors.forename: Andrés
authors.initials: A
authors.lastname: Caballero
authors.affiliation: Instituto de Investigación, Fundación Universitaria Sanitas, Bogotá, Colombia.
authors.forename: Milciades Ibañez
authors.initials: MI
authors.lastname: Pinilla
authors.affiliation: Clínica Colsanitas, Bogotá, Colombia.
authors.forename: Isabel Cristina Suárez
authors.initials: IC
authors.lastname: Mendoza
authors.affiliation: Clínica Colsanitas, Bogotá, Colombia.
authors.forename: Juan Ramón Acevedo
authors.initials: JR
authors.lastname: Peña
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000706:statistics & numerical data; D002318:Cardiovascular Diseases / Q000191:economics / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D003105:Colombia; D005260:Female; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010359:Patient Readmission / Q000191:economics / Q000706:statistics & numerical data*; D017061:Prepaid Health Plans / Q000191:economics / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D017678:Sex Distribution; D013997:Time Factors; D055815:Young Adult