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Readmissions of adults within three age groups following hospitalization for pneumonia: Analysis from the Nationwide Readmissions Database
BACKGROUND: While 30-day readmissions following hospitalization for pneumonia have been well-studied in the elderly, their burden in young adults remains poorly understood. OBJECTIVE: To study patterns of readmissions following hospitalization for pneumonia across age groups and insurance payers. ME...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136736/ https://www.ncbi.nlm.nih.gov/pubmed/30212485 http://dx.doi.org/10.1371/journal.pone.0203375 |
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author | Jain, Snigdha Khera, Rohan Mortensen, Eric M. Weissler, Jonathan C. |
author_facet | Jain, Snigdha Khera, Rohan Mortensen, Eric M. Weissler, Jonathan C. |
author_sort | Jain, Snigdha |
collection | PubMed |
description | BACKGROUND: While 30-day readmissions following hospitalization for pneumonia have been well-studied in the elderly, their burden in young adults remains poorly understood. OBJECTIVE: To study patterns of readmissions following hospitalization for pneumonia across age groups and insurance payers. METHODS: In the Nationwide Readmission Database for the years 2013 and 2014 we identified all adults (≥18 years) discharged alive after a hospitalization with the primary diagnosis of pneumonia, and examined rates of readmissions within 30-days of discharge. Using covariates included in the Center for Medicare & Medicaid Services risk-adjustment model for pneumonia readmissions in a multivariable regression model for survey data, we identified predictors of 30-day readmission. RESULTS: We identified 629,939 index pneumonia hospitalizations with a weighted estimate of 1,472,069 nationally. Overall, 16.2% of patients were readmitted within 30 days of their hospitalization for pneumonia, with 30-day readmission rates of 12.4% in the 18–44 year age-group, 16.1% in the 45–64 year age-group, and 16.7% in the ≥65-year age-group. In risk-adjusted analyses, compared with elderly, middle-aged adults were more likely to be readmitted (risk-adjusted OR 1.05, 95% CI 1.03–1.07). Mean cost per readmission was also highest for this age group at $15,976. CONCLUSION: Middle-aged adults experience substantial rates of 30-day readmission that are comparable to those over 65 years of age, with a higher cost per readmission event. Future efforts are needed to identify potential interventions to alleviate the high burden of pneumonia readmissions in middle-aged adults. |
format | Online Article Text |
id | pubmed-6136736 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-61367362018-09-27 Readmissions of adults within three age groups following hospitalization for pneumonia: Analysis from the Nationwide Readmissions Database Jain, Snigdha Khera, Rohan Mortensen, Eric M. Weissler, Jonathan C. PLoS One Research Article BACKGROUND: While 30-day readmissions following hospitalization for pneumonia have been well-studied in the elderly, their burden in young adults remains poorly understood. OBJECTIVE: To study patterns of readmissions following hospitalization for pneumonia across age groups and insurance payers. METHODS: In the Nationwide Readmission Database for the years 2013 and 2014 we identified all adults (≥18 years) discharged alive after a hospitalization with the primary diagnosis of pneumonia, and examined rates of readmissions within 30-days of discharge. Using covariates included in the Center for Medicare & Medicaid Services risk-adjustment model for pneumonia readmissions in a multivariable regression model for survey data, we identified predictors of 30-day readmission. RESULTS: We identified 629,939 index pneumonia hospitalizations with a weighted estimate of 1,472,069 nationally. Overall, 16.2% of patients were readmitted within 30 days of their hospitalization for pneumonia, with 30-day readmission rates of 12.4% in the 18–44 year age-group, 16.1% in the 45–64 year age-group, and 16.7% in the ≥65-year age-group. In risk-adjusted analyses, compared with elderly, middle-aged adults were more likely to be readmitted (risk-adjusted OR 1.05, 95% CI 1.03–1.07). Mean cost per readmission was also highest for this age group at $15,976. CONCLUSION: Middle-aged adults experience substantial rates of 30-day readmission that are comparable to those over 65 years of age, with a higher cost per readmission event. Future efforts are needed to identify potential interventions to alleviate the high burden of pneumonia readmissions in middle-aged adults. Public Library of Science 2018-09-13 /pmc/articles/PMC6136736/ /pubmed/30212485 http://dx.doi.org/10.1371/journal.pone.0203375 Text en © 2018 Jain et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Jain, Snigdha Khera, Rohan Mortensen, Eric M. Weissler, Jonathan C. Readmissions of adults within three age groups following hospitalization for pneumonia: Analysis from the Nationwide Readmissions Database |
title | Readmissions of adults within three age groups following hospitalization for pneumonia: Analysis from the Nationwide Readmissions Database |
title_full | Readmissions of adults within three age groups following hospitalization for pneumonia: Analysis from the Nationwide Readmissions Database |
title_fullStr | Readmissions of adults within three age groups following hospitalization for pneumonia: Analysis from the Nationwide Readmissions Database |
title_full_unstemmed | Readmissions of adults within three age groups following hospitalization for pneumonia: Analysis from the Nationwide Readmissions Database |
title_short | Readmissions of adults within three age groups following hospitalization for pneumonia: Analysis from the Nationwide Readmissions Database |
title_sort | readmissions of adults within three age groups following hospitalization for pneumonia: analysis from the nationwide readmissions database |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136736/ https://www.ncbi.nlm.nih.gov/pubmed/30212485 http://dx.doi.org/10.1371/journal.pone.0203375 |
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