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January 21, 2014Journal of the American Geriatrics Society

Frailty-related diagnoses increased the risk of 30-day readmission (overall mean adjusted rate 18.3%), whereas incident high-risk medication use and prior primary care visits lowered readmission risk.

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Why the study?

Do frailty-related diagnoses, high-risk medications, and primary care visit volume affect 30-day readmission rates in elderly veterans?

Population

Veterans aged 65 and older who received VA care at least once per year between October 1, 2004, and…

Design

Cohort

Follow-up

30 days

Key result

Frailty-related diagnoses increased the risk of 30-day readmission (overall mean adjusted rate 18.3%), whereas incident high-risk medication use and prior primary care visits lowered readmission risk.

Authors

JPJacqueline A. PughCWChen‐Pin WangSESara Espinoza

Discussion

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Member takes

Overview

Supports frailty and primary care as readmission risk modifiers in elderly veterans; hypothesis-generating and should not yet change practice.

Study Design

Type

Cohort

Multicenter

Yes

Structured PICO

Do frailty-related diagnoses, high-risk medications, and primary care visit volume affect 30-day readmission rates in elderly veterans?

P
Population
Veterans aged 65 and older who received VA care at least once per year between October 1, 2004, and September 30, 2006, and were hospitalized at least once during FY06 on a medical or surgical unit.
I
Intervention
Frailty-related diagnoses, high-risk medications in the elderly (HRME), and volume of primary care visits in the prior year
O
Outcome
Readmissions in fewer than 30 dayshard clinical

Frailty-related diagnoses and fewer primary care visits are associated with higher 30-day readmission risk in elderly veterans, suggesting targets for care transition services.

Cite This Study

Pugh et al. (2014) conducted a cohort in Hospitalized veterans. Frailty-related diagnoses, high-risk medications, and primary care visits was evaluated on Readmission in fewer than 30 days. Frailty-related diagnoses increased the risk of 30-day readmission (overall mean adjusted rate 18.3%), whereas incident high-risk medication use and prior primary care visits lowered readmission risk.

synapsesocial.com/papers/6a1752480ef68bc33a8d8608https://doi.org/10.1111/jgs.12656
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Also Consider

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  1. 1Inpatient Palliative Care Consults and the Probability of Hospital Readmission2011 · 52 citations
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