Skip to main content Accessibility help
  • Print publication year: 2017
  • Online publication date: March 2017

Chapter 18 - Hospital Readmissions

from Part III - New Developments in Observation Medicine

Related content

Powered by UNSILO
1.Jencks, SF, Williams, MV, Coleman, EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med 2009; 360(14):14181428.
2.Medicare Payment Advisory Committee (MedCAP). Report to the Congress: Creating greater efficiency in Medicare. Available at: Accessed February 2016.
3.Rosen, AK, Chen, Q, Shin, MH, et al. Medical and surgical readmissions in the Veterans Health Administration. What proportions are related to the index Hospitalization? Medical Care 2014; 52(3):243249.
4.Centers for Medicare and Medicaid Services (CMS). CMS Hospital Compare Web site. Available at: Accessed February 2016.
5.Department of Veterans Affairs. VA Hospital Compare. Available at: Accessed February 2016.
6.Department of Health and Human Services; Centers for Medicare and Medicaid Services. Medicare Program Hospital Inpatient Perspective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Medicare program; FY 2014 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements; and Updates on Payment Reform; Proposed Rules. Federal Register 78 (May 10, 2013): 27486–27823. Available at: Accessed February 2016.
7.Pina, IL. Trends in heart failure hospitalizations. Curr Heart Fail Rep 2012; 9(4):346353.
9.Federal Register, Patient Protection Affordable Care Act. Available at: Accessed February 2016.
10.Bradley, EH, Curry, L, Horwitz, LI, et al. Hospital strategies associated with 30-day readmission rates for patients with heart failure. Circ Cardiovasc Qual Outcomes 2013; 6:444450.
11.Joynt, KE. Thirty-day readmissions – truth and consequences. N Engl J Med 2012; 366(15):13661369.
12.Feigenbaum, P, Neuwirth, E, Trowbridge, L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Med Care 2012; 50(7):599607.
13.Van Walraven, C, Bennett, C, Jennings, A, et al. Proportion of hospital admissions deemed avoidable: a systematic review. CMAJ 2011; 183(7): E391E402.
14.Van Walraven, C, Jennings, A, Forster, AJ. A meta-analysis of the hospital 30-day avoidable readmission rate. J Eval Clin Pract 2012; 18(6):12111218.
15.Van Walraven, C, Jennings, A, Taljaard, M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. CMAJ 2011; 183(14):e1067–1072.
16.Shih, T, Dimick, JB. Reliability of readmission rates as a hospital quality measure in cardiac surgery. Ann Thorac Surg 2014; 97(4):12141218.
17.Shimizu, E, Glaspy, K, Witt, MD, et al. Readmissions at a public safety net hospital. PLoS One. 2014 Mar 11; 9(3):e 91244.
18.Hu, J, Gonsahn, MD, Nerenz, DR, et al. Socioeconomic status and readmissions: evidence from an urban teaching hospital. Health Aff (Millwood) 2014; 33(5):786791.
19.Shu, CC, Lin, YF, Ko, WJ. Risk factors for 30-day readmission in general medical patients admitted from the emergency department: a single center study. Intern Med J 2012; 42(6):677682.
20.Tuppin, P, Cuerq, A, de Peretti, C, et al. First hospitalization for heart failure in France in 2009: patient characteristics and 30-day follow-up. Arch Cardiovasc Dis 2013; 106(11):570585.
21.Blunt, I, Bardsley, M, Grove, A, et al. Classifying emergency 30-day readmissions in England using routine hospital data 2004–2010: what is the scope for reduction? Emerg Med J 2015; 32(1):4450.
22.Kiridly, DN, Karkenny, AJ, Hutzler, LH, et al. The effect of severity of disease on cost burden of 30-day readmissions following total joint arthroplasty. J Arthroplasty 2014; 29(8):1545–1547.
23.Hummel, SL, Katrapati, P, Gillespie, BW, et al. Impact of prior admissions on 30 day readmission in medicare heart failure inpatients. Mayo Clin Proc 2014; 89(5):623630.
24.Garrison, GM, Mansukhani, MP, Bohn, B. Predictors of thirty-day readmissions among hospitalized family medicine patients. J Am Board Fam Med 2013; 26(1):7177.
25.Borenstein, J, Aronow, HU, Bolton, LB, et al. Early recognition of risk factors for adverse outcomes during hospitalization among Medicare patients: a prospective cohort study. BMC Geriatr 2013; 13:72.
26.Moore, L, Stelfox, HT, Turgeon, AF, et al. Rates, patterns, and determinants of unplanned admission after traumatic injury: a multicenter cohort study. Ann Surg 2014; 259(2):374380.
27.Kelly, KN, Iannuzzi, JC, et al. Risk factors associated with 30-day postoperative readmissions in major gastrointestinal resections. J Gastrointest Surg 2014; 18(1):3543.
28.Khavanin, N, Bethke, KP, Lovecchio, FC, et al. Risk factors for unplanned readmissions following excisional breast surgery. Breast J 2014; 20(3):288294.
29.Nguyen, HQ, Chu, L, Liu, IL, Lee, JS, et al. Associations between physical activity and 30 day readmission risk in chronic obstructive pulmonary disease. Ann Am Thor Soc 2014; 11(5):695705.
30.Brown, JR, Parikh, CR, Ross, CS, et al. Impact of perioperative acute kidney injury as a severity index for thirty-day readmission after cardiac surgery. Ann Thor Surg 2014; 97(1):111117.
31.Whittaker, D, Soine, LA, Errico, KM. Patient and process factors associated with all-cause 30-day readmission among patients with heart failure. J Am Assoc Nurse Pract 2015; 27:105113.
32.McPhee, JT, Nguyen, LL, Ho, KJ, et al. Risk prediction of 30-day readmission after infrainguinal bypass for critical limb ischemia. J Vasc Surg 2013; 57(6):14811488.
33.Ahmad, R, Schmidt, BH, Rattner, DW, et al. Factors influencing readmission after curative gastrectomy for gastric cancer. J Am Coll Surg 2014; 218:12151222.
34.Wasfy, JH, Rosenfield, K, Zelevinsky, K, et al. A prediction model to identify patients at high risk for 30-day readmission after percutaneous coronary intervention. Circ Cardiovasc Qual Outcomes 2013; 6(4):429435.
35.David, D, Britting, L, Dalton, J. Cardiac acute care nurse practitioner and 30-day readmission. J Cardiovasc Nurs 2015; 30(3):248255.
36.Fleishman, JA, Yehia, BR, Korthuis, PT, et al. Thirty day readmission rate among adults living with HIV. AIDS 2013; 27(13):20592068.
37.Wang, MC, Shivakoti, M, Sparapani, RA, et al. Thirty day readmissions after elective spine surgery for degenerative conditions among US Medicare beneficiaries. Spine J 2012; 12(10):902911.
38.Brandao, LF, Zargar, H, Laydner, H, et al. 30-day hospital readmission after robotic partial nephrectomy; are we prepared for Medicare Readmission Reduction Program? J Urol 2014; 192(3):677681.
39.Ketterer, MW, Draus, C, McCord, J, et al. Behavioral factors and hospital admissions/readmissions in patients with CHF. Psychosomatics 2014; 55(1):4550.
40.Burke, RE, Donze, J, Schnipper, JL, Contribution of psychiatric illness and substance abuse to 30-day readmission rate. J Hosp Med 2013; 8(8): 450455.
41.Daiello, LA, Gardener, R, Epstein-Lubow, G, Butterfield, K. Association of dementia with early rehospitalization among Medicare beneficiaries. Arch Gerontol Geriatr 2014; 59:162168.
42.Clement, RC, Derman, PB, Graham, DS, et al. Risk factors, causes and the economic implications of unplanned readmissions following total hip arthroplasty. J Arthroplasty 2013; 28(8 suppl):710. doi 10:1016/j.
43.Dailey, EA, Cizik, A, Kasten, J, et al. Risk factors for readmission of orthopedic surgical patients. J Bone Joint Surg AM 2013; 95(11):10012–1019.
44.Glance, LG, Kellerman, AL, Osler, TM, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg 2014; doi: 10.1001 [Epub ahead of print].
45.Greenblatt, DY, Greenberg, CC, Kind, A, Havlena, JA, et al. Causes and implications of readmission after abdominal aortic aneurysm repair. Ann Surg 2012; 256(4):596605.
46.Vogel, TR, Dombrovskiy, VY, Lowry, SF, et al. Impact of infectious complications after elective surgery on hospital readmission and late deaths in the U.S. Medicare population. Surg Infect (Larchmt) 2012; 13(5):307311.
47.Shehata, N, Forster, A, Rothwell, DM. et al. Does anemia impact hospital readmission after coronary artery bypass surgery? Transfusion 2013; 53(8):16881697.
48.Lovecchio, F, Farmer, R, Souza, J, et al. Risk factors for 30-day readmission in patients undergoing ventral hernia repair. Surgery 2014; 155(4): 702710.
49.Lin, RJ, Evans, AT, Chused, AE, et al. Anemia in general medical inpatients prolongs length of stay and increases 30-day readmission rate. Southern Med J 2013; 106(5): 316320.
50.Evans, NR, Dhatariya, KK. Assessing the relationship between admission glucose levels, subsequent length of hospital stay, readmission and mortality. Clin Med 2012; 12(2):137139.
51.Lee, LJ, Emons, MF, Martin, SA, et al. Association of blood glucose levels with in-hospital mortality and 30 day readmission in patients undergoing invasive cardiovascular surgery. Curr Medical Research & Opinion 2012; 28(10):16571665.
52.Deitelzweig, S, Amin, A, Christian, R, et al. Health care utilization, costs, and readmission rates associated with hyponatremia. Hosp Pract 2013; 41(1):8995.
53.Brown, JR, Landis, RC, Chaisson, K, et al. Preoperative white blood cell count and risk of 30-day readmission after cardiac surgery. Int J Inflam 2013; doi: 10.1155/2013/781024 [Epub Jul 18, 2013].
54.Li, Z, Armstrong, EJ, Parker, JP, Danielsen, B, et al. Hospital variation in readmission after bypass surgery in California. Circ Cardiovasc Qual Outcomes 2012; 5(5):729737.
55.Hageman, MG, Bossen, JK, Smith, RM, et al. Predictors of readmission in orthopedic trauma surgery. J Orthop Trauma 2014; 28(10):e247e249.
56.Paquette, JM, Solon, P, Rafferty, JF, et al. Readmission for dehydration of renal failure after ileostomy creation. Dis Colon Rectum 2013; 56(8):974979.
57.Mather, JF, Fortunato, GJ, Ash, JL, et al. Prediction of 30 pneumonia 30-day readmissions: a single-center attempt to increase model performance. Respir Care 2014; 59(2):199208.
58.Schneider, EB, Haider, AH, Hyder, O, et al. Assessing short and long term outcomes among black vs. white Medicare patients undergoing resection of colorectal cancer. Am J Surg 2013; 205(4):402408.
59.Singh, JA, Lu, X, Rosenthal, GE, et al. Racial disparities in knee and hip total joint arthroplasty: an 18-year analysis of national Medicare data. Ann Rheum Dis; Sep 18 [Epub ahead of print].
60.Vaziri, S, Cox, JB, Friedman, WA. Readmisssions in neurosurgery: a qualitative inquiry. World Neurosurg 2014; S1878–8750.
61.Silber, JH, Rosenbaum, PR, Kelz, RR, et al. Medical and financial risks associated with surgery in the elderly obese. Ann Surg 2012; 256(1):7986.
62.Robinson, TN, Wu, DS, Pointer, L, et al. Simple frailty score predicts postoperative complications across surgical specialties. Am J Surg 2013; 206(4):544550.
63.Fisher, SR, Kuo, VF, Sharma, G, et al. Mobility after discharge as a marker for 30-day readmission. J Gerontol A Biol Sci Med Sci 2013; 68(7): 805810.
64.Jones, TS, Dunn, CL, Wu, DS, et al. Relationship between asking an older adult about falls and surgical outcomes. JAMA Surg 2013; 148(12): 11321138.
65.Herrin, J, St. Andre, J, Kenward, K, et al. Community factors and hospital readmission rates. Health Serv Res 2015; 50(1):2039.
66.Allen, LS, Smoyer Tomic, KE, Smith, DM. Rates and predictors of 30 day readmission among commercially insured and Medicaid-enrolled patients hospitalized with systolic heart failure. Circ Heart Fail 2012; 5(6):672679.
67.Tsai, TC, Joynt, KE, Orav, EJ, et al. Variation in surgical-readmission rates and quality of hospital care. N Engl J Med 2013; 369(12):11341142.
68.Engelbert, TL, Fernandez-Taylor, S, Gupta, PK, et al. Clinical characteristics associated with readmission among patients undergoing vascular surgery. J Vasc Surg 2014; 59(5):13491355.
69.Doran, KM, Ragins, KT, Iacomacci, AL, et al. The revolving hospital door: hospital readmissions among patients who are homeless. Med Care 2013; 51(9):767773.
70.Dharmarajan, K, Hsieh, AF, Lin, Z, et al. Hospital readmission performance and patterns of readmission: retrospective cohort study of Medicare admissions. BMJ 2013; 347:F6571.
71.Lemieux, J, Sennett, C, Wang, R, et al. Hospital readmission rates in Medicare advantage plans. Am J Manag Care 2012; 18(2): 96104.
72.Parnaby, CN, Ramsay, G, Macvleod, CS, et al. Complications after laparoscopic and open subtotal colectomy for inflammatory colitis: a case-matched comparison. Colorectal Dis 2013; 15(11):13991405.
73.Helgstrand, F, Jorgensen, LN, Kehlet, H, et al. Nationwide prospective study on readmission after umbilical or epigastric hernia repair. Hernia 2013; 17(4):487492.
74.Schweppe, ML, Seyle, TM, Swenson, RD, et al. Does surgical approach in total hip arthroplasty affect rehabilitation, discharge disposition, and readmission rate? Surg Technol Int 2013; 23:219227.
75.Schmeida, M, Savrin, R. Acute myocardial infarction rehospitalization of the Medicare fee-for-service patient: a state-level analysis exploring 30-day readmission factors. Prof Case Manag 2013; 18(6):295302.
76.Brown, JR, Conley, SM, Niles, NW. Predicting readmission or death after acute ST-elevation myocardial infarction. Clin Cardiol 2013; 36(10): 570575.
77.Schmeida, M, Savrin, RA. Pneumonia rehospitalization of the Medicare fee-for-service patient: a state-level analysis: exploring 30-day readmission factors. Prof Case Manag 2012; 17(3):126131.
78.Rosen, AK, Loveland, S, Shin, M, et al. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. Med Care 2013; 51910:3744.
79.Bates, OL, O’Connor, N, Dunn, D, et al. Applying STAAR Interventions in Incremental Bundles: Improving Post-CABG Surgical Patient Care. Worldviews Evid Based Nurs 2014; 11(2):8997.
80.Segelman, M, Szydlowski, J, Kinosian, B, et al. Hospitalization in the program of all inclusive care for the elderly. J Am Geriatr Soc 2014; 62(2):320324.
81.Markley, J, Andow, V, Sabharwal, K, et al. A project to reengineer discharges reduces 30day readmission rates, Am J Nurs 2013; 113(7):5564.
82.Flood, KL, McGrew, l D, Green, D, et al. Effects of an acute care for elders unit on costs and 30-day readmissionsJAMA Intern Med 2013; 173(11):981987.
83.Pal, A, Babbott, S, Wlikinson, ST. Can the targeted use of a discharge pharmacist significantly decrease 30-day readmissions? Hosp Pharm 2013; 48(5):380388.
84.Kirkham, HS, Clark, BL, Paynter, J, et al. The effect of a collaborative pharmacist-hospital care transition program on the likelihood of 30 day readmission. Am J Health Sys Pharm 2014; 71(9):739745.
85.Baldwin, KM, Black, D, Hammond, S. Developing a rural transitional care community case management program using clinical nurse specialists. Clin Nurse Spec 2014; 28(3):147155.
86.Ryan, J, Kang, S, Dolacky, S, et al. Change in readmissions and follow-up visits as part of a heart failure readmission quality improvement initiative. Am J Med 2013; 126(11):989984.
87.ED staff, paramedics work to reduce readmits. Hosp Case Manag 2014; 22(3):36–37.
88.New program set to intervene to prevent readmissions, repeat ED visits due to acute exacerbations of asthma. ED Manag 2013; 25(12): 139–141.
89.Hall, MH, Esposito, RA, Pekmezaris, R, et al. Cardiac surgery nurse practitioner home visits prevent CABG readmissions. Ann Thorac Surg 2014; 97(5):14881895.
90.Novak, CJ, Hastanan, S, Moradi, M, et al. Reducing unnecessary hospital readmissions: the pharmacist’s role in care transitions. Consult Pharm 2012; 27(3):174179.
91.Nabagiez, JP, Shariff, MA, Khan, MA, et al. Physician assistant home visit program to reduce hospital admissions. J Thorac Cardiovasc Surg 2013; 145(1):225231.
92.Enguidanos, S, Vesper, E, Lorenz, K, et al. 30 day readmissions among seriously ill older adults. J Palliat Med 2012; 15(12):13561361.
93.Peacock, WF, Remer, EE, Aponte, J, et al. Effective observation unit treatment of decompensated heart failure. Congest Heart Fail 2002; 8(2): 6873.
94.Roberts, RR, Zalenski, RJ, Mensah, EK, et al. Costs of an emergency department-based accelerated diagnostic protocol vs. hospitalization in patients with chest pain: a randomized controlled trial. JAMA 1997; 278(20):16701676.