Key result
Higher discharge readiness linked to ~4% lower 30-day readmission risk per point in sepsis survivors.
Why the study?
Discharge readiness and its influencing factors, as well as its relationship with 30-day unplanned readmission among older adult sepsis survivors, required investigation.
Cross-Sectional (n=330)
No
Effect estimate: OR 0.962 (95% CI 0.941-0.983)
p-value: p=0.001
Higher levels of readiness for hospital discharge, significantly influenced by the quality of discharge teaching, are associated with a lower rate of 30-day unplanned readmission in older adult sepsis survivors.
Aim: To investigate discharge readiness among older adult sepsis survivors and its influencing factors, and to explore the relationship with 30-day unplanned readmission. Methods: From May 2024 to May 2025, a cohort of 330 older adult sepsis survivors was recruited from an infectious disease center in China. Before discharge, participants completed questionnaires on demographic and disease characteristics, the Readiness for Hospital Discharge Scale (RHDS), and the Quality of Discharge Teaching Scale (QDTS). A follow-up survey on the 30-day unplanned readmission was subsequently conducted. The data were analyzed using Spearman correlation and multiple linear regression. Results: The mean scores for RHDS and QDTS were 93.54 ± 19.96 and 155.21 ± 24.57. RHDS was primarily influenced by the QDTS, length of hospitalization, medical expenses payment, and general self-efficacy, which together explained 43.0% of the variance. Lower discharge readiness was associated with a higher risk of unplanned readmission within 30 days. Conclusion: The readiness for hospital discharge of older adult sepsis survivors is moderate and influenced by multiple factors, with the quality of discharge teaching being particularly significant. Higher levels of discharge readiness are associated with a lower rate of unplanned readmission.
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Hou et al. (2026) conducted a cross-sectional in Sepsis (n=330). Readiness for Hospital Discharge Scale (RHDS) was evaluated on 30-day unplanned readmission (OR 0.962, 95% CI 0.941-0.983, p=0.001). Higher levels of discharge readiness were associated with a lower risk of 30-day unplanned readmission among older adult sepsis survivors, with an adjusted OR of 0.962 per one-point increase in RHDS score.
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