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December 23, 2008The Journal of Rural HealthOpen Access

Rural veterans had slightly higher 30-day readmission rates than urban counterparts (17.96% vs 17.86%; OR 1.006, 95% CI: 1.0004, 1.013), and readmission was more common after using a VA hospital compared to a non-VA hospital.

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Why the study?

Does living in a rural setting or using a VA hospital affect the rate of unplanned 30-day readmission in older veterans?

Population

3,513,912 hospital admissions for older veterans enrolled in the VA between 1997 and 2004

Comparison

Living in a rural setting or initially using a… vs Living in an urban setting or initially using a…

Design

Cohort

Follow-up

30 days

Authors

WWWilliam B. WeeksRLRichard E. LeeAWAmy E. Wallace

Discussion

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Overview

No immediate practice change for rural veterans; leaves open mechanisms linking VA hospitals to higher readmissions.

Structured PICO

Does living in a rural setting or using a VA hospital affect the rate of unplanned 30-day readmission in older veterans?

P
Population
3,513,912 hospital admissions for older veterans enrolled in the VA between 1997 and 2004
I
Intervention
Living in a rural setting or initially using a VA hospital for hospitalization
C
Comparator
Living in an urban setting or initially using a non-VA hospital for hospitalization
O
Outcome
Unplanned readmission within 30 days of discharge

Older rural veterans and those admitted to VA hospitals have slightly higher rates of unplanned 30-day readmissions compared to urban veterans and those admitted to non-VA hospitals.

Cite This Study

Weeks et al. (2008) studied this question.

synapsesocial.com/papers/6a6fcfe4febe604dd708a81ehttps://doi.org/10.1111/j.1748-0361.2009.00200.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Effect of Rural Versus Urban Residence on Risk of Unplanned Readmission and Death in Older Veterans Discharged From VA Hospitals2026
  2. 2Effect of post-discharge follow-up care on re-admissions among US veterans with congestive heart failure: a rural-urban comparison2010 · 43 citations
  3. 3Private-Sector Readmissions for Inpatient Surgery in Veterans Health Administration Hospitals2024 · 3 citations
  4. 4Mortality and Revascularization Following Admission for Acute Myocardial Infarction: Implication for Rural Veterans2010 · 37 citations
  5. 5The Association between the Quality of Inpatient Care and Early Readmission1995 · 394 citations