Journal article
Rate and Modifiable Predictors of 30-Day Readmission in Patients with Acute Respiratory Distress Syndrome in the United States
Curēus (Palo Alto, CA), v 12(6), 8922
30 Jun 2020
PMID: 32760623
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background
The 30-day readmission rates are being used as a quality measure by Centers for Medicare and Medicaid Services (CMS) for specific medical and surgical conditions. Acute respiratory distress syndrome (ARDS) is one of the important causes of morbidity and mortality in the United States (US). The characteristics and predictors of 30-day readmission in ARDS patients in the US are not widely known, which we have depicted in our study.
Objective
The aim of this study is to identify 30-day readmission rates, characteristics, and predictors of ARDS patients using the largest publicly available nationwide database.
Methods
We used the National Readmission Database from the year 2013 to extract the patients with ARDS by primary discharge diagnosis with ICD9-CM codes. All-cause unplanned 30-day readmission rates were calculated for patients admitted between January and November 2013. The independent predictors for unplanned 30-day readmission were identified by survey logistic regression.
Results
After excluding elective readmission, the all-cause unplanned 30-day readmission rate for ARDS patients was 18%. Index admissions readmitted within 30-day had a significantly higher baseline burden of comorbidities with a Charlson Comorbidity Index (CCI) ≥1 as compared to those who were not readmitted within 30 days. In multivariate regression analysis, several predictors associated with 30-day readmission were self-pay/no charge/other (OR 1.19, 95%CI: 1.02-1.38;
p
= 0.02), higher-income class (OR 0.86, 95%CI:0.79-0.99;
p
= 0.03), private insurance (OR 0.81, 95%CI:0.67-0.94;
p
= 0.01), and teaching metropolitan hospital (OR 0.72, 95%CI:0.61-0.94;
p
= 0.01).
Conclusion
The unplanned 30-day readmission rates are higher in ARDS patients in the US. Several modifiable factors such as insurance, socioeconomic status, and hospital type are associated with 30-day readmission among ARDS patients.
Metrics
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Details
- Title
- Rate and Modifiable Predictors of 30-Day Readmission in Patients with Acute Respiratory Distress Syndrome in the United States
- Creators
- Harshil ShahUvesh Mansuri - MedStar Union Memorial HospitalSukrut Pagad - Larkin Community HospitalReshmi Adupa - Garden City Community CollegeJagmeet Singh - Geisinger Commonwealth School of MedicineKhin TunChail Shah - Mahatma Gandhi Medical College and Research InstituteSolomon Tuonuur - University of New HavenPriyal J Shah - Navicent HealthMir Z Ali KhanGurjot S Grewal - Christian Medical College, VelloreRuchir Goswami - Icahn School of Medicine at Mount SinaiShantanu Solanki - Geisinger Commonwealth School of Medicine
- Publication Details
- Curēus (Palo Alto, CA), v 12(6), 8922
- Publisher
- Cureus
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Web of Science ID
- WOS:000544581700005
- Other Identifier
- 991021966467004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Medicine, General & Internal