Patient reported experiences and readmissions for people with diabetes-related foot disease admitted to public hospitals, New South Wales, Australia, 2019-2022
Patient reported measures of hospital care are known predictors of readmission, even after accounting for risk related to age and comorbidities. This study aimed to determine the association between patient experience of diabetes-related foot disease (DFD) hospital care and unplanned hospital readmi...
Gespeichert in:
| Veröffentlicht in: | PloS one 2024-12, Vol.19 (12), p.e0314895 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 12 |
| container_start_page | e0314895 |
| container_title | PloS one |
| container_volume | 19 |
| creator | Burnett, Alexander C R Williamson, Jennifer Roberts, Aedan G K Marashi-Pour, Sadaf Hay, Liz |
| description | Patient reported measures of hospital care are known predictors of readmission, even after accounting for risk related to age and comorbidities. This study aimed to determine the association between patient experience of diabetes-related foot disease (DFD) hospital care and unplanned hospital readmission, with a primary focus on DFD-related readmissions and a secondary focus on all-cause readmissions.
A retrospective longitudinal cohort study was conducted by linking NSW Adult Admitted Patient Survey data with administrative hospital data for persons hospitalised with DFD identified through diagnostic and/or procedure codes. Univariable and multivariable shared-frailty Cox regression models were used to examine the association between key aspects of patient experiences and 90-days unplanned hospital readmission over the period 2019-2022.
Overall, 3,173 DFD patients were included. Ninety-day readmission rates for respondents with DFD were 9% for DFD-related readmissions and 16% for all-cause readmissions. Adults with DFD who could not understand explanations offered by health professionals were at increased risk of DFD-related readmission compared to those who could always understand (Hazard ratio (HR) 2.43, CI: 1.47-4.00), as well as patients who did not feel well enough to leave hospital at discharge (HR 1.93, CI: 1.41-2.64) or reported the care received was not well organised (HR 2.24, 1.45-3.47). Patients reporting that they did not receive enough information regarding their condition, treatment, or how to manage care at home were found to have a DFD-related readmission risk that was 1.5 to 1.8-times greater than those who did. Similar patterns were observed for all-cause readmissions, albeit with generally smaller effect sizes.
The findings highlight that elements of care related to communication, coordination, and involvement in decision making may influence unplanned readmission rates for patients with chronic conditions, such as DFD. The impact appears to be more pronounced for DFD-related readmissions compared to all-cause readmissions. |
| doi_str_mv | 10.1371/journal.pone.0314895 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_3141380404</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A819044129</galeid><doaj_id>oai_doaj_org_article_7d343b92e3044a82995da9efacf3df40</doaj_id><sourcerecordid>A819044129</sourcerecordid><originalsourceid>FETCH-LOGICAL-c572t-3ceff446a54ab4ec2869a353d1d31d65b2f818e03864fc218c46b3e45d27e8f83</originalsourceid><addsrcrecordid>eNqNk9tu1DAQhiMEoqXwBggsISGQuotPOV2hquJQqaKIcri0HHu868obB9uh5Wl4VZzuttpFvUC5SPT7m38yM56ieErwnLCavLnwY-ilmw--hzlmhDdtea_YJy2js4pidn_re694FOMFxiVrquphscfaitUNY_vFn88yWegTCjD4kEAjuBogZElBRLLX-UDqlY3R-j4i4wMawA8O0KVNS6St7CBBnAVwcoo23qesRpAR0BSYJjV5NIydswotfRxski4eok9wic79mF1-SAdZOBpjCtJZeYgoJu2MYkofFw9MpuHJ5n1QfHv_7uvxx9np2YeT46PTmSprmmZMgTGcV7LksuOgaFO1kpVME82IrsqOmoY0gHP93ChKGsWrjgEvNa2hMQ07KJ6vfQfno9j0NorcVsIazDHPxMma0F5eiCHYlQy_hZdWXAs-LIQMySoHotaMs66lwDDnsqFtW2rZgpHKMG04zl5vN9nGbgVa5QHkwndMd096uxQL_0sQksdZt3V2eLVxCP7nCDGJPCMFzske_Hj941XJaFVPyV78g95d3oZa5GEI2xufE6vJVBw1pM2FENpman4HlR8NK6vyTTQ26zsBr3cCMpPgKi3kGKM4Of_y_-zZ91325Ra7BOnSMno3puma7oJ8DargYwxgbrtMsJgW6aYbYloksVmkHPZse0K3QTebw_4CatwZQQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3141380404</pqid></control><display><type>article</type><title>Patient reported experiences and readmissions for people with diabetes-related foot disease admitted to public hospitals, New South Wales, Australia, 2019-2022</title><source>Public Library of Science (PLoS) Journals Open Access</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Burnett, Alexander C R ; Williamson, Jennifer ; Roberts, Aedan G K ; Marashi-Pour, Sadaf ; Hay, Liz</creator><contributor>Huang, Kuo-Cherh</contributor><creatorcontrib>Burnett, Alexander C R ; Williamson, Jennifer ; Roberts, Aedan G K ; Marashi-Pour, Sadaf ; Hay, Liz ; Huang, Kuo-Cherh</creatorcontrib><description>Patient reported measures of hospital care are known predictors of readmission, even after accounting for risk related to age and comorbidities. This study aimed to determine the association between patient experience of diabetes-related foot disease (DFD) hospital care and unplanned hospital readmission, with a primary focus on DFD-related readmissions and a secondary focus on all-cause readmissions.
A retrospective longitudinal cohort study was conducted by linking NSW Adult Admitted Patient Survey data with administrative hospital data for persons hospitalised with DFD identified through diagnostic and/or procedure codes. Univariable and multivariable shared-frailty Cox regression models were used to examine the association between key aspects of patient experiences and 90-days unplanned hospital readmission over the period 2019-2022.
Overall, 3,173 DFD patients were included. Ninety-day readmission rates for respondents with DFD were 9% for DFD-related readmissions and 16% for all-cause readmissions. Adults with DFD who could not understand explanations offered by health professionals were at increased risk of DFD-related readmission compared to those who could always understand (Hazard ratio (HR) 2.43, CI: 1.47-4.00), as well as patients who did not feel well enough to leave hospital at discharge (HR 1.93, CI: 1.41-2.64) or reported the care received was not well organised (HR 2.24, 1.45-3.47). Patients reporting that they did not receive enough information regarding their condition, treatment, or how to manage care at home were found to have a DFD-related readmission risk that was 1.5 to 1.8-times greater than those who did. Similar patterns were observed for all-cause readmissions, albeit with generally smaller effect sizes.
The findings highlight that elements of care related to communication, coordination, and involvement in decision making may influence unplanned readmission rates for patients with chronic conditions, such as DFD. The impact appears to be more pronounced for DFD-related readmissions compared to all-cause readmissions.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0314895</identifier><identifier>PMID: 39637833</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Amputation ; Analysis ; Biology and Life Sciences ; Cardiovascular disease ; Care and treatment ; Chronic conditions ; Chronic illnesses ; Codes ; Comorbidity ; Decision making ; Diabetes ; Diabetes mellitus ; Diabetes therapy ; Diabetic foot ; Diabetic Foot - epidemiology ; Diabetic Foot - therapy ; Diabetics ; Diagnosis ; Emergency medical care ; Evidence-based medicine ; Female ; Foot diseases ; Health aspects ; Health surveys ; Hospitalization ; Hospitalization - statistics & numerical data ; Hospitals ; Hospitals, Public ; Humans ; Infections ; Information management ; Longitudinal Studies ; Male ; Medical care, Cost of ; Medical personnel ; Medicine and Health Sciences ; Middle Aged ; Mortality ; New South Wales - epidemiology ; Patient Readmission - statistics & numerical data ; Patient Reported Outcome Measures ; Patient satisfaction ; Patients ; Peripheral neuropathy ; Public health ; Regression analysis ; Regression models ; Rehabilitation ; Research and Analysis Methods ; Retrospective Studies ; Risk factors ; Social Sciences ; Socioeconomic factors ; Ulcers ; Vein & artery diseases</subject><ispartof>PloS one, 2024-12, Vol.19 (12), p.e0314895</ispartof><rights>Copyright: © 2024 Burnett et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Burnett et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Burnett et al 2024 Burnett et al</rights><rights>2024 Burnett et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c572t-3ceff446a54ab4ec2869a353d1d31d65b2f818e03864fc218c46b3e45d27e8f83</cites><orcidid>0000-0002-3067-4095 ; 0000-0002-8313-7883 ; 0000-0002-6429-6133</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620797/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620797/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39637833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Huang, Kuo-Cherh</contributor><creatorcontrib>Burnett, Alexander C R</creatorcontrib><creatorcontrib>Williamson, Jennifer</creatorcontrib><creatorcontrib>Roberts, Aedan G K</creatorcontrib><creatorcontrib>Marashi-Pour, Sadaf</creatorcontrib><creatorcontrib>Hay, Liz</creatorcontrib><title>Patient reported experiences and readmissions for people with diabetes-related foot disease admitted to public hospitals, New South Wales, Australia, 2019-2022</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Patient reported measures of hospital care are known predictors of readmission, even after accounting for risk related to age and comorbidities. This study aimed to determine the association between patient experience of diabetes-related foot disease (DFD) hospital care and unplanned hospital readmission, with a primary focus on DFD-related readmissions and a secondary focus on all-cause readmissions.
A retrospective longitudinal cohort study was conducted by linking NSW Adult Admitted Patient Survey data with administrative hospital data for persons hospitalised with DFD identified through diagnostic and/or procedure codes. Univariable and multivariable shared-frailty Cox regression models were used to examine the association between key aspects of patient experiences and 90-days unplanned hospital readmission over the period 2019-2022.
Overall, 3,173 DFD patients were included. Ninety-day readmission rates for respondents with DFD were 9% for DFD-related readmissions and 16% for all-cause readmissions. Adults with DFD who could not understand explanations offered by health professionals were at increased risk of DFD-related readmission compared to those who could always understand (Hazard ratio (HR) 2.43, CI: 1.47-4.00), as well as patients who did not feel well enough to leave hospital at discharge (HR 1.93, CI: 1.41-2.64) or reported the care received was not well organised (HR 2.24, 1.45-3.47). Patients reporting that they did not receive enough information regarding their condition, treatment, or how to manage care at home were found to have a DFD-related readmission risk that was 1.5 to 1.8-times greater than those who did. Similar patterns were observed for all-cause readmissions, albeit with generally smaller effect sizes.
The findings highlight that elements of care related to communication, coordination, and involvement in decision making may influence unplanned readmission rates for patients with chronic conditions, such as DFD. The impact appears to be more pronounced for DFD-related readmissions compared to all-cause readmissions.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amputation</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Cardiovascular disease</subject><subject>Care and treatment</subject><subject>Chronic conditions</subject><subject>Chronic illnesses</subject><subject>Codes</subject><subject>Comorbidity</subject><subject>Decision making</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes therapy</subject><subject>Diabetic foot</subject><subject>Diabetic Foot - epidemiology</subject><subject>Diabetic Foot - therapy</subject><subject>Diabetics</subject><subject>Diagnosis</subject><subject>Emergency medical care</subject><subject>Evidence-based medicine</subject><subject>Female</subject><subject>Foot diseases</subject><subject>Health aspects</subject><subject>Health surveys</subject><subject>Hospitalization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitals</subject><subject>Hospitals, Public</subject><subject>Humans</subject><subject>Infections</subject><subject>Information management</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical care, Cost of</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>New South Wales - epidemiology</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Patient Reported Outcome Measures</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Peripheral neuropathy</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Rehabilitation</subject><subject>Research and Analysis Methods</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Social Sciences</subject><subject>Socioeconomic factors</subject><subject>Ulcers</subject><subject>Vein & artery diseases</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9tu1DAQhiMEoqXwBggsISGQuotPOV2hquJQqaKIcri0HHu868obB9uh5Wl4VZzuttpFvUC5SPT7m38yM56ieErwnLCavLnwY-ilmw--hzlmhDdtea_YJy2js4pidn_re694FOMFxiVrquphscfaitUNY_vFn88yWegTCjD4kEAjuBogZElBRLLX-UDqlY3R-j4i4wMawA8O0KVNS6St7CBBnAVwcoo23qesRpAR0BSYJjV5NIydswotfRxski4eok9wic79mF1-SAdZOBpjCtJZeYgoJu2MYkofFw9MpuHJ5n1QfHv_7uvxx9np2YeT46PTmSprmmZMgTGcV7LksuOgaFO1kpVME82IrsqOmoY0gHP93ChKGsWrjgEvNa2hMQ07KJ6vfQfno9j0NorcVsIazDHPxMma0F5eiCHYlQy_hZdWXAs-LIQMySoHotaMs66lwDDnsqFtW2rZgpHKMG04zl5vN9nGbgVa5QHkwndMd096uxQL_0sQksdZt3V2eLVxCP7nCDGJPCMFzske_Hj941XJaFVPyV78g95d3oZa5GEI2xufE6vJVBw1pM2FENpman4HlR8NK6vyTTQ26zsBr3cCMpPgKi3kGKM4Of_y_-zZ91325Ra7BOnSMno3puma7oJ8DargYwxgbrtMsJgW6aYbYloksVmkHPZse0K3QTebw_4CatwZQQ</recordid><startdate>20241205</startdate><enddate>20241205</enddate><creator>Burnett, Alexander C R</creator><creator>Williamson, Jennifer</creator><creator>Roberts, Aedan G K</creator><creator>Marashi-Pour, Sadaf</creator><creator>Hay, Liz</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-3067-4095</orcidid><orcidid>https://orcid.org/0000-0002-8313-7883</orcidid><orcidid>https://orcid.org/0000-0002-6429-6133</orcidid></search><sort><creationdate>20241205</creationdate><title>Patient reported experiences and readmissions for people with diabetes-related foot disease admitted to public hospitals, New South Wales, Australia, 2019-2022</title><author>Burnett, Alexander C R ; Williamson, Jennifer ; Roberts, Aedan G K ; Marashi-Pour, Sadaf ; Hay, Liz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c572t-3ceff446a54ab4ec2869a353d1d31d65b2f818e03864fc218c46b3e45d27e8f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amputation</topic><topic>Analysis</topic><topic>Biology and Life Sciences</topic><topic>Cardiovascular disease</topic><topic>Care and treatment</topic><topic>Chronic conditions</topic><topic>Chronic illnesses</topic><topic>Codes</topic><topic>Comorbidity</topic><topic>Decision making</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes therapy</topic><topic>Diabetic foot</topic><topic>Diabetic Foot - epidemiology</topic><topic>Diabetic Foot - therapy</topic><topic>Diabetics</topic><topic>Diagnosis</topic><topic>Emergency medical care</topic><topic>Evidence-based medicine</topic><topic>Female</topic><topic>Foot diseases</topic><topic>Health aspects</topic><topic>Health surveys</topic><topic>Hospitalization</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Hospitals</topic><topic>Hospitals, Public</topic><topic>Humans</topic><topic>Infections</topic><topic>Information management</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical care, Cost of</topic><topic>Medical personnel</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>New South Wales - epidemiology</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>Patient Reported Outcome Measures</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>Peripheral neuropathy</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Rehabilitation</topic><topic>Research and Analysis Methods</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Social Sciences</topic><topic>Socioeconomic factors</topic><topic>Ulcers</topic><topic>Vein & artery diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Burnett, Alexander C R</creatorcontrib><creatorcontrib>Williamson, Jennifer</creatorcontrib><creatorcontrib>Roberts, Aedan G K</creatorcontrib><creatorcontrib>Marashi-Pour, Sadaf</creatorcontrib><creatorcontrib>Hay, Liz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Burnett, Alexander C R</au><au>Williamson, Jennifer</au><au>Roberts, Aedan G K</au><au>Marashi-Pour, Sadaf</au><au>Hay, Liz</au><au>Huang, Kuo-Cherh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient reported experiences and readmissions for people with diabetes-related foot disease admitted to public hospitals, New South Wales, Australia, 2019-2022</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-12-05</date><risdate>2024</risdate><volume>19</volume><issue>12</issue><spage>e0314895</spage><pages>e0314895-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Patient reported measures of hospital care are known predictors of readmission, even after accounting for risk related to age and comorbidities. This study aimed to determine the association between patient experience of diabetes-related foot disease (DFD) hospital care and unplanned hospital readmission, with a primary focus on DFD-related readmissions and a secondary focus on all-cause readmissions.
A retrospective longitudinal cohort study was conducted by linking NSW Adult Admitted Patient Survey data with administrative hospital data for persons hospitalised with DFD identified through diagnostic and/or procedure codes. Univariable and multivariable shared-frailty Cox regression models were used to examine the association between key aspects of patient experiences and 90-days unplanned hospital readmission over the period 2019-2022.
Overall, 3,173 DFD patients were included. Ninety-day readmission rates for respondents with DFD were 9% for DFD-related readmissions and 16% for all-cause readmissions. Adults with DFD who could not understand explanations offered by health professionals were at increased risk of DFD-related readmission compared to those who could always understand (Hazard ratio (HR) 2.43, CI: 1.47-4.00), as well as patients who did not feel well enough to leave hospital at discharge (HR 1.93, CI: 1.41-2.64) or reported the care received was not well organised (HR 2.24, 1.45-3.47). Patients reporting that they did not receive enough information regarding their condition, treatment, or how to manage care at home were found to have a DFD-related readmission risk that was 1.5 to 1.8-times greater than those who did. Similar patterns were observed for all-cause readmissions, albeit with generally smaller effect sizes.
The findings highlight that elements of care related to communication, coordination, and involvement in decision making may influence unplanned readmission rates for patients with chronic conditions, such as DFD. The impact appears to be more pronounced for DFD-related readmissions compared to all-cause readmissions.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39637833</pmid><doi>10.1371/journal.pone.0314895</doi><tpages>e0314895</tpages><orcidid>https://orcid.org/0000-0002-3067-4095</orcidid><orcidid>https://orcid.org/0000-0002-8313-7883</orcidid><orcidid>https://orcid.org/0000-0002-6429-6133</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2024-12, Vol.19 (12), p.e0314895 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3141380404 |
| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Aged Aged, 80 and over Amputation Analysis Biology and Life Sciences Cardiovascular disease Care and treatment Chronic conditions Chronic illnesses Codes Comorbidity Decision making Diabetes Diabetes mellitus Diabetes therapy Diabetic foot Diabetic Foot - epidemiology Diabetic Foot - therapy Diabetics Diagnosis Emergency medical care Evidence-based medicine Female Foot diseases Health aspects Health surveys Hospitalization Hospitalization - statistics & numerical data Hospitals Hospitals, Public Humans Infections Information management Longitudinal Studies Male Medical care, Cost of Medical personnel Medicine and Health Sciences Middle Aged Mortality New South Wales - epidemiology Patient Readmission - statistics & numerical data Patient Reported Outcome Measures Patient satisfaction Patients Peripheral neuropathy Public health Regression analysis Regression models Rehabilitation Research and Analysis Methods Retrospective Studies Risk factors Social Sciences Socioeconomic factors Ulcers Vein & artery diseases |
| title | Patient reported experiences and readmissions for people with diabetes-related foot disease admitted to public hospitals, New South Wales, Australia, 2019-2022 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T06%3A02%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Patient%20reported%20experiences%20and%20readmissions%20for%20people%20with%20diabetes-related%20foot%20disease%20admitted%20to%20public%20hospitals,%20New%20South%20Wales,%20Australia,%202019-2022&rft.jtitle=PloS%20one&rft.au=Burnett,%20Alexander%20C%20R&rft.date=2024-12-05&rft.volume=19&rft.issue=12&rft.spage=e0314895&rft.pages=e0314895-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0314895&rft_dat=%3Cgale_plos_%3EA819044129%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3141380404&rft_id=info:pmid/39637833&rft_galeid=A819044129&rft_doaj_id=oai_doaj_org_article_7d343b92e3044a82995da9efacf3df40&rfr_iscdi=true |