Journal article
Risk Factors Associated With Unplanned Hospital Readmissions in Adults With Cancer
Oncology nursing forum, v 42(3), pp E257-E268
01 May 2015
PMID: 25901388
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose/Objectives: To identify risk factors associated with 30-day unplanned hospital readmissions in adults with cancer.
Design: Case-control study.
Setting: A teaching hospital in an urban center in the Mid-Atlantic region of the United States.
Sample: 302 adults with solid tumors: 87 readmitted within 30 days (cases) and 215 not readmitted (controls).
Methods: The Conceptual Model of Re-Hospitalization was used as a theoretic framework. Univariate logistic regression and multivariate logistic regression were conducted to identify risk factors for hospital readmission.
Main Research Variables: Risk factors included patient, clinical, hospitalization, and discharge-planning characteristics.
Findings: From November 2011 to November 2012, 29% of patients were readmitted within 30 days after discharge, and a higher percentage of those readmissions occurred within the first week of discharge. Several predictors for hospital readmission were identified in the univariate logistic analysis, but the most relevant in the final multivariate logistic model were moderate to high risk for falls and advanced stage disease (metastatic).
Conclusions: Hospital readmission is an indicator of quality care. Learning about risk factors allows opportunities to prevent hospital readmission by identifying those at high risk and implementing optimal discharge-planning systems and early referrals to palliative care.
Implications for Nursing: Oncology nurses are best positioned to develop strategic plans aimed at improving discharge planning and transitions of care that will decrease unplanned hospital readmissions.
Metrics
Details
- Title
- Risk Factors Associated With Unplanned Hospital Readmissions in Adults With Cancer
- Creators
- Clara Granda-Cameron - Pennsylvania HospitalMaryam Behta - Univ Penn Hlth Syst, Clin Performance Improvement, Philadelphia, PA USAMary Hovinga - Drexel UniversityAl Rundio - Drexel UniversityDavid Mintzer - Penn Hosp, Sect hematol Oncol, Philadelphia, PA 19107 USA
- Publication Details
- Oncology nursing forum, v 42(3), pp E257-E268
- Publisher
- Oncology Nursing Soc
- Number of pages
- 12
- Grant note
- APN/DNP Student Fellowship Award from the ONS Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Nurse Practitioner Master of Science in Nursing (MSN); Epidemiology and Biostatistics
- Web of Science ID
- WOS:000354233000014
- Scopus ID
- 2-s2.0-84928808002
- Other Identifier
- 991019168296904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nursing
- Oncology