IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i3p1674-d1038497.html
   My bibliography  Save this article

Risk Factors for Early Hospital Readmission in Geriatric Patients: A Systematic Review

Author

Listed:
  • Francesco Cilla

    (Service of Geriatric Medicine and Geriatric Rehabilitation, Centre Hospitalier Universitaire Vaudois (CHUV), Route de Mont Paisible 16, 1011 Lausanne, Switzerland)

  • Ilaria Sabione

    (Service of Geriatric Medicine and Geriatric Rehabilitation, Centre Hospitalier Universitaire Vaudois (CHUV), Route de Mont Paisible 16, 1011 Lausanne, Switzerland)

  • Patrizia D’Amelio

    (Service of Geriatric Medicine and Geriatric Rehabilitation, Centre Hospitalier Universitaire Vaudois (CHUV), Route de Mont Paisible 16, 1011 Lausanne, Switzerland)

Abstract

The number of older patients is constantly growing, and early hospital readmissions in this population represent a major problem from a health, social and economic point of view. Furthermore, the early readmission rate is often used as an indicator of the quality of care. We performed a systematic review of the literature to better understand the risk factors of early readmission (30 and 90 days) in the geriatric population and to update the existing evidence on this subject. The search was carried out on the MEDLINE, EMBASE and PsycINFO databases. Three independent reviewers assessed the potential inclusion of the studies, and then each study was independently assessed by two reviewers using Joanna Briggs Institute critical appraisal tools; any discrepancies were resolved by the third reviewer. Studies that included inpatients in surgical wards were excluded. Twenty-nine studies were included in the review. Risk factors of early readmission can be classified into socio-economic factors, factors relating to the patient’s health characteristics, factors related to the use of the healthcare system and clinical factors. Among these risk factors, those linked to patient frailty play an important role, in particular malnutrition, reduced mobility, risk of falls, fatigue and functional dependence. The early identification of patients at higher risk of early readmission may allow for targeted interventions in view of discharge.

Suggested Citation

  • Francesco Cilla & Ilaria Sabione & Patrizia D’Amelio, 2023. "Risk Factors for Early Hospital Readmission in Geriatric Patients: A Systematic Review," IJERPH, MDPI, vol. 20(3), pages 1-16, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:1674-:d:1038497
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/3/1674/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/3/1674/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Linda Dobrzanska & Robert Newell, 2006. "Readmissions: a primary care examination of reasons for readmission of older people and possible readmission risk factors," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(5), pages 599-606, May.
    2. Møller Dahl, Christian & Planck Kongstad, Line, 2017. "The costs of acute readmissions to a different hospital – Does the effect vary across provider types?," Social Science & Medicine, Elsevier, vol. 183(C), pages 116-125.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shu‐Ching Chang & Ming‐Neng Shiu & Huey‐Tzy Chen & Yee‐Yung Ng & Li‐Chan Lin & Shiao‐Chi Wu, 2015. "Evaluation of care quality for disabled older patients living at home and in institutions," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3469-3480, December.
    2. Claudia Fischer & Hester F Lingsma & Perla J Marang-van de Mheen & Dionne S Kringos & Niek S Klazinga & Ewout W Steyerberg, 2014. "Is the Readmission Rate a Valid Quality Indicator? A Review of the Evidence," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-9, November.
    3. Diogo Cunha Ferreira & Alexandre Morais Nunes & Rui Cunha Marques, 2020. "Operational efficiency vs clinical safety, care appropriateness, timeliness, and access to health care," Journal of Productivity Analysis, Springer, vol. 53(3), pages 355-375, June.
    4. Rita Matos & Diogo Ferreira & Maria Isabel Pedro, 2021. "Economic Analysis of Portuguese Public Hospitals Through the Construction of Quality, Efficiency, Access, and Financial Related Composite Indicators," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 157(1), pages 361-392, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:1674-:d:1038497. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.