Patient-Reported Discharge Readiness and 30-Day Risk of Readmission or Death: A Prospective Cohort Study

Abstract Background Early readmissions to hospital after discharge are common, and clinicians cannot accurately predict their occurrence. We examined whether patients who feel unready at the time of discharge have increased readmissions or death within 30 days. Methods This was a prospective cohort...

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Veröffentlicht in:	The American journal of medicine 2016, Vol.129 (1), p.89-95
Hauptverfasser:	Lau, Darren, MD, PhD, Padwal, Raj S., MD, MSc, Majumdar, Sumit R., MD, MPH, Pederson, Jenelle L., BA, Belga, Sara, MD, Kahlon, Sharry, MD, Fradette, Miriam, BscPharm, Boyko, Debbie, RN, McAlister, Finlay A., MD, MSc
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Canada - epidemiology Cognition Disorders - psychology Depression - psychology Female General internal medicine Health services Health Services Research Humans Internal Medicine Male Middle Aged Mortality Patient Discharge - statistics & numerical data Patient Outcome Assessment Patient Readmission - statistics & numerical data Patient Satisfaction Patient-reported outcomes Prospective Studies Quality of Life Readmissions Risk Factors Socioeconomic Factors Studies
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Zusammenfassung:	Abstract Background Early readmissions to hospital after discharge are common, and clinicians cannot accurately predict their occurrence. We examined whether patients who feel unready at the time of discharge have increased readmissions or death within 30 days. Methods This was a prospective cohort study of adult patients discharged home from 2 tertiary care hospitals in Edmonton, Alberta, Canada, between October 2013 and November 2014. Patient-reported discharge readiness was measured with an 11-point Likert response scale, with scores
ISSN:	0002-9343 1555-7162
DOI:	10.1016/j.amjmed.2015.08.018