Shiraz E-Medical Journal Shiraz E-Medical Journal Shiraz E-Med J http://www.emedicalj.portal.tools 1735-1391 10.5812/semj. en jalali 2019 9 17 gregorian 2019 9 17 18 4
en 10.5812/semj.39745 Evaluation of 30-Day Unplanned Hospital Readmission in a Large Teaching Hospital in Shiraz, Iran Evaluation of 30-Day Unplanned Hospital Readmission in a Large Teaching Hospital in Shiraz, Iran research-article research-article Conclusions

It is necessary to consider the patients with internal history, surgical procedure, and more paraclinical requirement. In addition, physicians should be educated to give more consideration to these groups.

Results

Results showed that 66 patients were readmitted during this time. In addition, having history of chronic non-communicable diseases such as hypertension (HTN), diabetes mellitus (DM), chronic kidney disease (CKD) (here called internal problem) (P = 0.04), surgical procedure (P = 0.03), and rate of paraclinical requests (P = 0.04) associated with readmission.

Background

The information about lower 30-day readmission in Iran is very limited. The current study aimed at evaluating the causes of readmission in an educational hospital based on LACE index.

Methods

It was a case-control study evaluating the causes of readmission of the patients from February 2014 till February 2015 (12 months) in a large teaching hospital in Shiraz, Iran. Data were extracted from health information system (HIS) and after removing the planed readmission, the rest of data were examined according to 4 variables of LACE index; in addition to the season of admission, rate of preclinical requests, and patients’ living area. Data were transferred into Stata software version 11.0, according to the conditional regression analysis.

Conclusions

It is necessary to consider the patients with internal history, surgical procedure, and more paraclinical requirement. In addition, physicians should be educated to give more consideration to these groups.

Results

Results showed that 66 patients were readmitted during this time. In addition, having history of chronic non-communicable diseases such as hypertension (HTN), diabetes mellitus (DM), chronic kidney disease (CKD) (here called internal problem) (P = 0.04), surgical procedure (P = 0.03), and rate of paraclinical requests (P = 0.04) associated with readmission.

Background

The information about lower 30-day readmission in Iran is very limited. The current study aimed at evaluating the causes of readmission in an educational hospital based on LACE index.

Methods

It was a case-control study evaluating the causes of readmission of the patients from February 2014 till February 2015 (12 months) in a large teaching hospital in Shiraz, Iran. Data were extracted from health information system (HIS) and after removing the planed readmission, the rest of data were examined according to 4 variables of LACE index; in addition to the season of admission, rate of preclinical requests, and patients’ living area. Data were transferred into Stata software version 11.0, according to the conditional regression analysis.

30-Day Readmission;Internal Medicine;Surgical 30-Day Readmission;Internal Medicine;Surgical http://www.emedicalj.portal.tools/index.php?page=article&article_id=39745 Ahmad Kalateh Sadati Ahmad Kalateh Sadati Department of Sociology, Yazd University, Yazd, Iran Department of Sociology, Yazd University, Yazd, Iran Kamran Bagheri Lankarani Kamran Bagheri Lankarani Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Health Policy Research Center (HPRC), Shiraz University of Medical Science, Building No 2, Eighth Floor, School of Medicine, Zand Avenue, 71348-53185, Shiraz, Iran. Tel/Fax: +98-71132309615 Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Health Policy Research Center (HPRC), Shiraz University of Medical Science, Building No 2, Eighth Floor, School of Medicine, Zand Avenue, 71348-53185, Shiraz, Iran. Tel/Fax: +98-71132309615 Reza Tabrizi Reza Tabrizi Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Farnaz Rahnavard Farnaz Rahnavard Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Somaye Zakerabasali Somaye Zakerabasali Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran