GrippeEspagneV1, Main, Exploration, bibRecord, 000065

Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions.

Identifieur interne : 000065 ( Main/Exploration ); précédent : 000064; suivant : 000066

Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions.

Auteurs : Diana Toledo [Espagne] ; Núria Soldevila [Espagne] ; Núria Torner [Espagne] ; María José Pérez-Lozano [Espagne] ; Elena Espejo [Espagne] ; Gemma Navarro [Espagne] ; Mikel Egurrola [Espagne] ; Ángela Domínguez [Espagne]

Source :

BMJ open [ 2044-6055 ] ; 2018.

RBID : pubmed:29602852

Descripteurs français

KwdFr :
- Espagne (épidémiologie), Facteurs de risque (MeSH), Femelle (MeSH), Hospitalisation (MeSH), Humains (MeSH), Infections communautaires (thérapie), Infections communautaires (épidémiologie), Mâle (MeSH), Pneumopathie infectieuse (thérapie), Pneumopathie infectieuse (épidémiologie), Réadmission du patient (statistiques et données numériques), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études transversales (MeSH).
MESH :
- statistiques et données numériques : Réadmission du patient.
- thérapie : Infections communautaires, Pneumopathie infectieuse.
- épidémiologie : Espagne, Infections communautaires, Pneumopathie infectieuse.
- Facteurs de risque, Femelle, Hospitalisation, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
Wicri :
- geographic : Espagne.

English descriptors

KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Community-Acquired Infections (epidemiology), Community-Acquired Infections (therapy), Cross-Sectional Studies (MeSH), Female (MeSH), Hospitalization (MeSH), Humans (MeSH), Male (MeSH), Patient Readmission (statistics & numerical data), Pneumonia (epidemiology), Pneumonia (therapy), Risk Factors (MeSH), Spain (epidemiology).
MESH :
- geographic , epidemiology : Spain.
- epidemiology : Community-Acquired Infections, Pneumonia.
- statistics & numerical data : Patient Readmission.
- therapy : Community-Acquired Infections, Pneumonia.
- Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Hospitalization, Humans, Male, Risk Factors.

Abstract

OBJECTIVE

Hospital readmission in patients admitted for community-acquired pneumonia (CAP) is frequent in the elderly and patients with multiple comorbidities, resulting in a clinical and economic burden. The aim of this study was to determine factors associated with 30-day readmission in patients with CAP.

DESIGN

A cross-sectional study.

SETTING

The study was conducted in patients admitted to 20 hospitals in seven Spanish regions during two influenza seasons (2013-2014 and 2014-2015).

PARTICIPANTS

We included patients aged ≥65 years admitted through the emergency department with a diagnosis compatible with CAP. Patients who died during the initial hospitalisation and those hospitalised more than 30 days were excluded. Finally, 1756 CAP cases were included and of these, 200 (11.39%) were readmitted.

MAIN OUTCOME MEASURES

30-day readmission.

RESULTS

Factors associated with 30-day readmission were living with a person aged <15 years (adjusted OR (aOR) 2.10, 95% CI 1.01 to 4.41), >3 hospital visits during the 90 previous days (aOR 1.53, 95% CI 1.01 to 2.34), chronic respiratory failure (aOR 1.74, 95% CI 1.24 to 2.45), heart failure (aOR 1.69, 95% CI 1.21 to 2.35), chronic liver disease (aOR 2.27, 95% CI 1.20 to 4.31) and discharge to home with home healthcare (aOR 5.61, 95% CI 1.70 to 18.50). No associations were found with pneumococcal or seasonal influenza vaccination in any of the three previous seasons.

CONCLUSIONS

This study shows that 11.39% of patients aged ≥65 years initially hospitalised for CAP were readmitted within 30 days after discharge. Rehospitalisation was associated with preventable and non-preventable factors.

DOI: 10.1136/bmjopen-2017-020243
PubMed: 29602852
PubMed Central: PMC5884368

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 00064
to stream Main, to step Curation: 000064

Le document en format XML

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<author><name sortKey="Perez Lozano, Maria Jose" sort="Perez Lozano, Maria Jose" uniqKey="Perez Lozano M" first="María José" last="Pérez-Lozano">María José Pérez-Lozano</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
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<term>Community-Acquired Infections (therapy)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Hospitalization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Patient Readmission (statistics & numerical data)</term>
<term>Pneumonia (epidemiology)</term>
<term>Pneumonia (therapy)</term>
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<term>Facteurs de risque (MeSH)</term>
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<term>Hospitalisation (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections communautaires (thérapie)</term>
<term>Infections communautaires (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>Pneumopathie infectieuse (thérapie)</term>
<term>Pneumopathie infectieuse (épidémiologie)</term>
<term>Réadmission du patient (statistiques et données numériques)</term>
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<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Community-Acquired Infections</term>
<term>Pneumonia</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Readmission</term>
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<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Réadmission du patient</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Community-Acquired Infections</term>
<term>Pneumonia</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Infections communautaires</term>
<term>Pneumopathie infectieuse</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term>
<term>Infections communautaires</term>
<term>Pneumopathie infectieuse</term>
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<term>Aged, 80 and over</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
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<term>Risk Factors</term>
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<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>Hospital readmission in patients admitted for community-acquired pneumonia (CAP) is frequent in the elderly and patients with multiple comorbidities, resulting in a clinical and economic burden. The aim of this study was to determine factors associated with 30-day readmission in patients with CAP.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>A cross-sectional study.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>The study was conducted in patients admitted to 20 hospitals in seven Spanish regions during two influenza seasons (2013-2014 and 2014-2015).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b>
</p>
<p>We included patients aged ≥65 years admitted through the emergency department with a diagnosis compatible with CAP. Patients who died during the initial hospitalisation and those hospitalised more than 30 days were excluded. Finally, 1756 CAP cases were included and of these, 200 (11.39%) were readmitted.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b>
</p>
<p>30-day readmission.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Factors associated with 30-day readmission were living with a person aged <15 years (adjusted OR (aOR) 2.10, 95% CI 1.01 to 4.41), >3 hospital visits during the 90 previous days (aOR 1.53, 95% CI 1.01 to 2.34), chronic respiratory failure (aOR 1.74, 95% CI 1.24 to 2.45), heart failure (aOR 1.69, 95% CI 1.21 to 2.35), chronic liver disease (aOR 2.27, 95% CI 1.20 to 4.31) and discharge to home with home healthcare (aOR 5.61, 95% CI 1.70 to 18.50). No associations were found with pneumococcal or seasonal influenza vaccination in any of the three previous seasons.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>This study shows that 11.39% of patients aged ≥65 years initially hospitalised for CAP were readmitted within 30 days after discharge. Rehospitalisation was associated with preventable and non-preventable factors.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">29602852</PMID>
<DateCompleted><Year>2019</Year>
<Month>03</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2019</Year>
<Month>03</Month>
<Day>04</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2044-6055</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>8</Volume>
<Issue>3</Issue>
<PubDate><Year>2018</Year>
<Month>03</Month>
<Day>30</Day>
</PubDate>
</JournalIssue>
<Title>BMJ open</Title>
<ISOAbbreviation>BMJ Open</ISOAbbreviation>
</Journal>
<ArticleTitle>Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions.</ArticleTitle>
<Pagination><MedlinePgn>e020243</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1136/bmjopen-2017-020243</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">Hospital readmission in patients admitted for community-acquired pneumonia (CAP) is frequent in the elderly and patients with multiple comorbidities, resulting in a clinical and economic burden. The aim of this study was to determine factors associated with 30-day readmission in patients with CAP.</AbstractText>
<AbstractText Label="DESIGN">A cross-sectional study.</AbstractText>
<AbstractText Label="SETTING">The study was conducted in patients admitted to 20 hospitals in seven Spanish regions during two influenza seasons (2013-2014 and 2014-2015).</AbstractText>
<AbstractText Label="PARTICIPANTS">We included patients aged ≥65 years admitted through the emergency department with a diagnosis compatible with CAP. Patients who died during the initial hospitalisation and those hospitalised more than 30 days were excluded. Finally, 1756 CAP cases were included and of these, 200 (11.39%) were readmitted.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES">30-day readmission.</AbstractText>
<AbstractText Label="RESULTS">Factors associated with 30-day readmission were living with a person aged <15 years (adjusted OR (aOR) 2.10, 95% CI 1.01 to 4.41), >3 hospital visits during the 90 previous days (aOR 1.53, 95% CI 1.01 to 2.34), chronic respiratory failure (aOR 1.74, 95% CI 1.24 to 2.45), heart failure (aOR 1.69, 95% CI 1.21 to 2.35), chronic liver disease (aOR 2.27, 95% CI 1.20 to 4.31) and discharge to home with home healthcare (aOR 5.61, 95% CI 1.70 to 18.50). No associations were found with pneumococcal or seasonal influenza vaccination in any of the three previous seasons.</AbstractText>
<AbstractText Label="CONCLUSIONS">This study shows that 11.39% of patients aged ≥65 years initially hospitalised for CAP were readmitted within 30 days after discharge. Rehospitalisation was associated with preventable and non-preventable factors.</AbstractText>
<CopyrightInformation>© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Toledo</LastName>
<ForeName>Diana</ForeName>
<Initials>D</Initials>
<Identifier Source="ORCID">0000-0003-0794-9238</Identifier>
<AffiliationInfo><Affiliation>Epidemiología y Salud Pública, (CIBERESP), Consorcio Centro de Investigación Biomédica en Red, M.P, Madrid, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Soldevila</LastName>
<ForeName>Núria</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Epidemiología y Salud Pública, (CIBERESP), Consorcio Centro de Investigación Biomédica en Red, M.P, Madrid, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Torner</LastName>
<ForeName>Núria</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Epidemiología y Salud Pública, (CIBERESP), Consorcio Centro de Investigación Biomédica en Red, M.P, Madrid, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Servei de Control Epidemiològic, Agència de Salut Pública de Catalunya, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pérez-Lozano</LastName>
<ForeName>María José</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo><Affiliation>UGC Prevención, Promoción y Vigilancia de la Salud, Hospital Valme, Seville, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Espejo</LastName>
<ForeName>Elena</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Unitat de Malalties Infeccioses, Hospital de Terrassa, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Navarro</LastName>
<ForeName>Gemma</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Unitatd'Epidemiologia i Avaluació, Parc Tauli Hospital Universitari, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Egurrola</LastName>
<ForeName>Mikel</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Serviciode Neumología, Hospital de Galdakao, Usansolo, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Domínguez</LastName>
<ForeName>Ángela</ForeName>
<Initials>Á</Initials>
<AffiliationInfo><Affiliation>Epidemiología y Salud Pública, (CIBERESP), Consorcio Centro de Investigación Biomédica en Red, M.P, Madrid, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>On-behalf of the Project FIS PI12/02079 Working Group</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2018</Year>
<Month>03</Month>
<Day>30</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>BMJ Open</MedlineTA>
<NlmUniqueID>101552874</NlmUniqueID>
<ISSNLinking>2044-6055</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017714" MajorTopicYN="Y">Community-Acquired Infections</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010359" MajorTopicYN="Y">Patient Readmission</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011014" MajorTopicYN="Y">Pneumonia</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">community acquired pneumonia</Keyword>
<Keyword MajorTopicYN="Y">elderly</Keyword>
<Keyword MajorTopicYN="Y">infectious diseases</Keyword>
<Keyword MajorTopicYN="Y">readmission</Keyword>
</KeywordList>
<CoiStatement>Competing interests: None declared.</CoiStatement>
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<ArticleIdList><ArticleId IdType="pubmed">24130229</ArticleId>
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</Reference>
<Reference><Citation>Eur J Clin Microbiol Infect Dis. 2006 Jul;25(7):457-62</Citation>
<ArticleIdList><ArticleId IdType="pubmed">16773389</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Gen Intern Med. 2013 Feb;28(2):269-82</Citation>
<ArticleIdList><ArticleId IdType="pubmed">23054925</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Thorax. 2016 Jun;71(6):535-42</Citation>
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<li>Communauté de Madrid</li>
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<orgName><li>Université de Barcelone</li>
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<tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Toledo, Diana" sort="Toledo, Diana" uniqKey="Toledo D" first="Diana" last="Toledo">Diana Toledo</name>
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<name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Ángela" last="Domínguez">Ángela Domínguez</name>
<name sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Ángela" last="Domínguez">Ángela Domínguez</name>
<name sortKey="Egurrola, Mikel" sort="Egurrola, Mikel" uniqKey="Egurrola M" first="Mikel" last="Egurrola">Mikel Egurrola</name>
<name sortKey="Espejo, Elena" sort="Espejo, Elena" uniqKey="Espejo E" first="Elena" last="Espejo">Elena Espejo</name>
<name sortKey="Navarro, Gemma" sort="Navarro, Gemma" uniqKey="Navarro G" first="Gemma" last="Navarro">Gemma Navarro</name>
<name sortKey="Perez Lozano, Maria Jose" sort="Perez Lozano, Maria Jose" uniqKey="Perez Lozano M" first="María José" last="Pérez-Lozano">María José Pérez-Lozano</name>
<name sortKey="Soldevila, Nuria" sort="Soldevila, Nuria" uniqKey="Soldevila N" first="Núria" last="Soldevila">Núria Soldevila</name>
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<name sortKey="Torner, Nuria" sort="Torner, Nuria" uniqKey="Torner N" first="Núria" last="Torner">Núria Torner</name>
<name sortKey="Torner, Nuria" sort="Torner, Nuria" uniqKey="Torner N" first="Núria" last="Torner">Núria Torner</name>
<name sortKey="Torner, Nuria" sort="Torner, Nuria" uniqKey="Torner N" first="Núria" last="Torner">Núria Torner</name>
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   |texte=   Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions.
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Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions.

Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions.

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