Key result
Not understanding discharge warning signs is linked to ~246% higher 90-day readmission or ED visit risk.
Why the study?
Discharge encounters must prepare patients to self-manage their health but have been found to be suboptimal.
Does perceived discharge quality reduce 90-day hospital readmission or emergency department visits in medical inpatients?
Population
316 medical inpatients admitted to a tertiary care hospital in Calgary, Canada
Comparison
Perceived discharge quality measured by Care Transitions Measure (CTM)
Design
Prospective cohort study
Follow-up
90 days
Authors
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Prioritizing warning sign education at discharge may warrant emphasis; leaves open whether global perceived discharge quality affects 90-day outcomes.
Cohort (n=316)
No
Does perceived discharge quality reduce 90-day hospital readmission or emergency department visits in medical inpatients?
Effect estimate: adjusted OR 3.46 (95% CI 1.02-11.73)
While overall perceived discharge quality did not predict 90-day readmission or ED visits, a lack of understanding of warning signs and symptoms significantly increased this risk.
Perera et al. (2022) conducted a cohort in Medical inpatients (n=316). Perceived discharge quality (Care Transitions Measure) was evaluated on 90-day hospital readmission or emergency department visit (adjusted OR 3.46, 95% CI 1.02-11.73). Global perceived discharge quality was not associated with 90-day readmission or ED visits, but not understanding warning signs and symptoms increased this risk (adjusted OR 3.46; 95% CI 1.02-11.73).
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