Review ArticleReviews and Commentaries

Pneumonia Readmissions: Risk Factors and Implications

Israel De Alba and Alpesh Amin
Ochsner Journal December 2014, 14 (4) 649-654;

REFERENCES

  1. ↵
    1. National Center for Health Statistics (NCHS),
    2. Centers for Disease Control and Prevention (CDC)
    FastStats: Pneumonia, Last Updated February 2014, http://www.cdc.gov/nchs/fastats/pneumonia.htm. Accessed July 21, 2014.
  2. ↵
    1. File TM Jr.,
    2. Marrie TJ
    (3, 2010) Burden of community-acquired pneumonia in North American adults. Postgrad Med 122(2):130–141, pmid:20203464.
    OpenUrlCrossRefPubMed
  3. ↵
    1. Elixhauser A,
    2. Steiner C,
    3. Healthcare Cost and Utilization Project (HCUP)
    (4, 2013) Statistical Brief 153, Readmissions to U.S. hospitals by diagnosis, 2010 (Agency for Healthcare Research and Quality (AHRQ), Rockville, MD) http://www.hcup-us.ahrq.gov/reports/statbriefs/sb153.pdf. Accessed July 21, 2014.
  4. ↵
    1. Fry AM,
    2. Shay DK,
    3. Holman RC,
    4. Curns AT,
    5. Anderson LJ
    (12 7, 2005) Trends in hospitalizations for pneumonia among persons aged 65 years or older in the United States, 1988-2002. JAMA 294(21):2712–2719, pmid:16333006.
    OpenUrlCrossRefPubMedWeb of Science
  5. ↵
    1. Readmissions Reduction Program
    Acute Inpatient PPS. Medicare Fee-for-Service Payment (Centers for Medicare & Medicaid Services (CMS), Baltimore, MD) Last Updated April 2014, http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html. Accessed July 21, 2014.
  6. ↵
    1. Rau J
    (9 23, 2013) Medicare penalizes hospitals in effort to reduce the number of patients readmitted. Washington Post, http://articles.washingtonpost.com/2013-09-23/national/42316575_1_readmissions-medicare-patients-kaiser-health-news-analysis. Accessed July 21, 2014.
  7. ↵
    1. Chen LM,
    2. Jha AK,
    3. Guterman S,
    4. Ridgway AB,
    5. Orav E,
    6. Epstein AM
    (2 22, 2010) Hospital cost of care, quality of care, and readmission rates: penny wise and pound foolish? Arch Intern Med 170(4):340–346, pmid:20177036.
    OpenUrlCrossRefPubMedWeb of Science
  8. ↵
    1. Epstein AM,
    2. Jha AK,
    3. Orav EJ
    (12 15, 2011) The relationship between hospital admission rates and rehospitalizations. N Engl J Med 365(24):2287–2295, pmid:22168643.
    OpenUrlCrossRefPubMedWeb of Science
  9. ↵
    1. Joynt KE,
    2. Orav EJ,
    3. Jha AK
    (2 16, 2011) Thirty-day readmission rates for Medicare beneficiaries by race and site of care. JAMA 305(7):675–681, pmid:21325183.
    OpenUrlCrossRefPubMedWeb of Science
  10. ↵
    1. Jencks SF,
    2. Williams MV,
    3. Coleman EA
    (4 2, 2009) Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med 360(14):1418–1428, pmid:19339721, Erratum in: N Engl J Med. 2011 Apr 21;364(16):1582.
    OpenUrlCrossRefPubMedWeb of Science
  11. ↵
    1. Lindenauer PK,
    2. Bernheim SM,
    3. Grady JN,
    4. et al.
    (Jul-Aug 2010) The performance of US hospitals as reflected in risk-standardized 30-day mortality and readmission rates for Medicare beneficiaries with pneumonia. J Hosp Med 5(6):E12–E18, pmid:20665626.
    OpenUrlPubMed
  12. ↵
    1. Shorr AF,
    2. Zilberberg MD,
    3. Reichley R,
    4. et al.
    (8, 2013) Readmission following hospitalization for pneumonia: the impact of pneumonia type and its implication for hospitals. Clin Infect Dis 57(3):362–367, pmid:23677872.
    OpenUrlCrossRefPubMed
  13. ↵
    1. Jasti H,
    2. Mortensen EM,
    3. Obrosky DS,
    4. Kapoor WN,
    5. Fine MJ
    (2 15, 2008) Causes and risk factors for rehospitalization of patients hospitalized with community-acquired pneumonia. Clin Infect Dis 46(4):550–556, pmid:18194099.
    OpenUrlCrossRefPubMedWeb of Science
  14. ↵
    1. Neupane B,
    2. Walter SD,
    3. Krueger P,
    4. Marrie T,
    5. Loeb M
    (5 11, 2010) Predictors of inhospital mortality and re-hospitalization in older adults with community-acquired pneumonia: a prospective cohort study. BMC Geriatr 10:22, pmid:20459844.
    OpenUrlCrossRefPubMed
  15. ↵
    1. Capelastegui A,
    2. España Yandiola PP,
    3. Quintana JM,
    4. et al.
    (10, 2009) Predictors of short-term rehospitalization following discharge of patients hospitalized with community-acquired pneumonia. Chest 136(4):1079–1085, pmid:19395580.
    OpenUrlCrossRefPubMedWeb of Science
  16. ↵
    1. Klug MG,
    2. Muus K,
    3. Upper Midwest Rural Health Research Center
    Effect of outpatient visits and discharge destination on potentially preventable readmissions for congestive heart failure and bacterial pneumonia. March 2012. Report 14, PHS Grant no.: 5U1CRH03717-06-01. Supported by the Office of Rural Health Policy, Health Services Resources and Services Administration, http://ruralhealth.und.edu/pdf/umrhrc_finalreport0312.pdf. Accessed July 21, 2014.
  17. ↵
    1. Benbassat J,
    2. Taragin M
    (4 24, 2000) Hospital readmissions as a measure of quality of health care: advantages and limitations. Arch Intern Med 160(8):1074–1081, pmid:10789599.
    OpenUrlCrossRefPubMedWeb of Science
  18. ↵
    1. Donzé J,
    2. Aujesky D,
    3. Williams D,
    4. Schnipper JL
    (4 22, 2013) Potentially avoidable 30-day hospital readmissions in medical patients: derivation and validation of a prediction model. JAMA Intern Med 173(8):632–638, pmid:23529115.
    OpenUrlCrossRefPubMedWeb of Science
  19. ↵
    1. van Walraven C,
    2. Bennett C,
    3. Jennings A,
    4. Austin PC,
    5. Forster AJ
    (4 19, 2011) Proportion of hospital readmissions deemed avoidable: a systematic review. CMAJ 183(7):E391–E402, pmid:21444623.
    OpenUrlAbstract/FREE Full Text
  20. ↵
    1. van Walraven C,
    2. Jennings A,
    3. Forster AJ
    (12, 2012) A meta-analysis of hospital 30-day avoidable readmission rates. J Eval Clin Pract 18(6):1211–1218, pmid:22070191.
    OpenUrlCrossRefPubMed
  21. ↵
    1. Allaudeen N,
    2. Vidyarthi A,
    3. Maselli J,
    4. Auerbach A
    (2, 2011) Redefining readmission risk factors for general medicine patients. J Hosp Med 6(2):54–60, pmid:20945293.
    OpenUrlCrossRefPubMedWeb of Science
  22. ↵
    1. Miller RD,
    2. Eng T,
    3. Kandilov AMG,
    4. Cromwell J,
    5. McCall N,
    6. RTI International
    Readmissions due to hospital-acquired conditions (HACs): multivariate modeling and under-coding analyses. September 2012. Project no.: 0209853.231.002.128. Contract no.: HHSM-500-2005-00029I, Supported by the Centers for Medicare & Medicaid Services, http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Downloads/Final-Report-Readmissions.pdf. Accessed July 16, 2014.
  23. ↵
    1. Gerhardt G,
    2. Yemane A,
    3. Hickman P,
    4. Oelschlaeger A,
    5. Rollins E,
    6. Brennan N
    (5 28, 2013) Medicare readmission rates showed meaningful decline in 2012. Medicare Medicaid Res Rev 3(2):E1–E12.
    OpenUrlCrossRefPubMed
  24. ↵
    1. Jack BW,
    2. Chetty VK,
    3. Anthony D,
    4. et al.
    (2 3, 2009) A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med 150(3):178–187, pmid:19189907.
    OpenUrlCrossRefPubMedWeb of Science
  25. ↵
    1. Arbaje AI,
    2. Wolff JL,
    3. Yu Q,
    4. Powe NR,
    5. Anderson GF,
    6. Boult C
    (8, 2008) Postdischarge environmental and socioeconomic factors and the likelihood of early hospital readmission among community-dwelling Medicare beneficiaries. Gerontologist 48(4):495–504, pmid:18728299.
    OpenUrlCrossRefPubMedWeb of Science
  26. ↵
    1. Ferrer M,
    2. Menéndez R,
    3. Amaro R,
    4. Torres A
    (9, 2011) The impact of guidelines on the outcomes of community-acquired and ventilator-associated pneumonia. Clin Chest Med 32(3):491–505, pmid:21867818.
    OpenUrlPubMed
  27. ↵
    1. Dean NC,
    2. Bateman KA,
    3. Donnelly SM,
    4. Silver MP,
    5. Snow GL,
    6. Hale D
    (9, 2006) Improved clinical outcomes with utilization of a community-acquired pneumonia guidelines. Chest 130(3):794–799, pmid:16963677.
    OpenUrlCrossRefPubMedWeb of Science
  28. ↵
    1. Menéndez R,
    2. Reyes S,
    3. Martínez R,
    4. de la Cuadra P
    (4, 2007) Manuel Vallés J, Vallterra J. Economic evaluation of adherence to treatment guidelines in nonintensive care pneumonia. Eur Respir J 29(4):751–756, pmid:17005580.
    OpenUrlAbstract/FREE Full Text
  29. ↵
    1. Mandell LA,
    2. Wunderink RG,
    3. Anzueto A,
    4. et al.
    (3 1, 2007) Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis 44(Suppl 2):S27–S72, pmid:17278083.
    OpenUrlCrossRefPubMedWeb of Science
  30. ↵
    1. Bosso JA,
    2. Drew RH
    (7, 2011) Application of antimicrobial stewardship to optimise management of community acquired pneumonia. Int J Clin Pract 65(7):775–783, pmid:21676120.
    OpenUrlCrossRefPubMed
  31. ↵
    1. Halm EA,
    2. Fine MJ,
    3. Kapoor WN,
    4. Singer DE,
    5. Marrie TJ,
    6. Siu AL
    (6 10, 2002) Instability on hospital discharge and the risk of adverse outcomes in patients with pneumonia. Arch Intern Med 162(11):1278–1284, pmid:12038946.
    OpenUrlCrossRefPubMedWeb of Science
  32. ↵
    1. Dharmarajan K,
    2. Hsieh AF,
    3. Lin Z,
    4. et al.
    (1 23, 2013) Diagnoses and timing of 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia. JAMA 309(4):355–363, pmid:23340637.
    OpenUrlCrossRefPubMedWeb of Science
  33. ↵
    1. Donzé J,
    2. Lipsitz S,
    3. Bates DW,
    4. Schnipper JL
    (12 16, 2013) Causes and patterns of readmissions in patients with common comorbidities: retrospective cohort study. BMJ 347:f7171, pmid:24342737.
    OpenUrlAbstract/FREE Full Text
  34. ↵
    1. Hansen LO,
    2. Greenwald JL,
    3. Budnitz T,
    4. et al.
    (8, 2013) Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med 8(8):421–427, pmid:23873709.
    OpenUrlCrossRefPubMed
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