Key result
Compared to returning to the community, older adults discharged to the community with home care had a greater risk of 30-day hospital readmission (adjusted OR 1.43; 95% CI 1.39-1.46).
Why the study?
Does discharge care setting affect 30-day hospital readmission in older adults following an unplanned medical admission?
Population
701,527 adults aged >65 years discharged alive after a nonelective medical hospital admission in Ontario…
Comparison
Discharge to community with home care, newly… vs Discharged to the community without home care
Design
Cohort
Follow-up
30 days
Authors
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Discharge with home care linked to higher 30-day readmission; leaves open selection bias versus care effects in risk models.
Cohort (n=701,527)
Yes
Does discharge care setting affect 30-day hospital readmission in older adults following an unplanned medical admission?
Effect estimate: adjusted OR 1.43 (95% CI 1.39-1.46)
Discharge care settings significantly impact 30-day readmission rates among older adults, highlighting the need to account for pre- and post-hospitalization care settings in readmission risk models and system planning.
Gruneir et al. (2018) conducted a cohort in Unplanned medical hospital stay (n=701,527). Discharge to community with home care vs. Discharge to community was evaluated on 30-day hospital readmission (adjusted OR 1.43, 95% CI 1.39-1.46). Compared to returning to the community, older adults discharged to the community with home care had a greater risk of 30-day hospital readmission (adjusted OR 1.43; 95% CI 1.39-1.46).
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