The risk factors for hospital re-admissions may change over a 30-day period following discharge from hospital, according to US research. There appears to be two distinct phases of re-admission risk; one up to eight days and one up to 30 days post-discharge. Re-admissions in the first week tend to be associated more with factors related to the initial cause of hospitalisation, whereas patients’ chronic illness burden seems to be more important in predicting re-admissions eight to thirty days post-discharge.
The same study indicates that hospital discharge between 8am and 12:59pm offers lower risk of early re-admissions. Discharge earlier in the day perhaps enables patients and their families more time to access community-based support services.
Hospital readmission risk factors ‘evolve’ over first month. [Online]: Nursing Times, June 3rd 2015.
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Graham, KL. Wilker, EH. [and] Howell, MD. [et al] (2015). Differences between early and late readmissions among patients: a cohort study. Annals of Internal Medicine. June 2nd 2015; 162(11): 741-9.