Key result
Severe head injury (adjusted SHR 1.47; 95% CI 1.24-1.73) and disposition to a skilled nursing facility were the strongest risk factors for unplanned readmission at 1 year in older trauma patients.
Cohort (n=14,536)
Yes
Hazard Ratio: 1.47 (95% CI 1.24–1.73)
Unplanned readmissions are common in older trauma patients up to 1 year post-discharge, particularly among those with severe head trauma or discharged to a skilled nursing facility, with cardiovascular conditions like atrial fibrillation and heart failure being common readmission diagnoses.
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Severe head injury and SNF discharge flag high-risk older trauma patients; hypothesis-generating and requires prospective validation before changing practice.
Fawcett et al. (2014) conducted a cohort in Trauma (n=14,536). Severe head injury vs. No severe head injury was evaluated on Unplanned readmission at 1 year (SHR 1.47, 95% CI 1.24-1.73). Severe head injury (adjusted SHR 1.47; 95% CI 1.24-1.73) and disposition to a skilled nursing facility were the strongest risk factors for unplanned readmission at 1 year in older trauma patients.
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