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We sought to identify national readmission rates in pediatric assault victims and identify the most common readmission diagnoses among these patients.
This study was undertaken with the following aims: determine the proportion of older adult trauma patients who experience unplanned readmission, as well as risk factors for these readmissions and identify the most common readmission diagnoses among these patients.
Using Healthcare Cost & Utilization Project's Clinical Classification Software [ 5], we determined the 10 most common readmission diagnoses after severe sepsis.
Regression models were weighted by the inverse of the standard error of the hospital level percentage of each of the 10 most common readmission diagnoses.
Heart failure and infection were the two most common readmission diagnoses for patients with most of the chronic comorbidities, accounting together for 21.6% to 34.3% of all avoidable readmissions (table 3).
We sought to determine the most common readmission diagnoses after severe sepsis, the extent to which readmissions may be preventable, and whether the pattern of readmission diagnoses differs from that of nonsepsis hospitalizations.
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After we restricted the analyses to the potentially avoidable readmissions only, the three most common primary readmission diagnoses were infection (11.6%; n=99), neoplasm (8.4%; n=72), and heart failure (7.1%, n=61) (table 3).
To evaluate the importance of each comorbidity on the causes of readmissions, we identified the proportion of the five most common primary readmission diagnoses for each comorbidity for both all cause 30 day readmissions and potentially avoidable 30 day readmissions.
Only the patients with neoplasm did not have heart failure as one of the five most common primary readmission diagnoses.
The most common causes for readmission were cardiac related.
We found no difference in the readmission rate between the periods 2002-2004 (5.5%) and 2005-2007 (5.8%) but a reduction in LOS between the periods 2002-2004 (4.1 ± 2.0 days) and 2005-2007 (3.8 ± 1.7 days).The most common causes for readmission were cardiac-related.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com