Weekend discharge not linked to increased readmission

July 12, 2015

Weekend discharge not linked to increased readmission
(HealthDay)—For patients with acute myocardial infarction (AMI), congestive heart failure (CHF), and pneumonia, weekend discharge is not associated with 30-day readmission, according to a study published online June 30 in the Journal of Hospital Medicine.

Jordan M. Cloyd, M.D., from Stanford University in California, and colleagues used the 2012 California Office of Statewide Health Planning and Development database to examine the impact of weekend on 30-day hospital readmission rates. Data were included for 266,519 patients with AMI, CHF, or pneumonia, of whom 22.5 percent were discharged on a weekend.

The researchers observed similar unadjusted 30-day hospital readmission rates for weekend and weekday discharges (AMI: 21.9 versus 21.9 percent; CHF: 15.4 versus 16.0 percent; pneumonia: 12.1 versus 12.4 percent). Weekday discharge correlated with longer length of stay and more frequent discharge to a skilled nursing facility. There was no association for weekend discharge with readmission in multivariable logistic regression models (AMI: odds ratio [OR], 1.02; 95 percent confidence interval [CI], 0.98 to 1.06; CHF: OR, 0.99; 95 percent CI, 0.94 to 1.03; and pneumonia: OR, 1.02; 95 percent CI, 0.98 to 1.07).

"In conclusion, among patients admitted with AMI, CHF, or in California, discharge on a weekend is not associated with hospital readmission," the authors write. "Future studies on hospital readmissions should use a population-based approach to accurately capture all readmissions following discharge."

Explore further: Readmissions in severe sepsis are as common as those in heart failure and pneumonia

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Readmissions in severe sepsis are as common as those in heart failure and pneumonia

May 18, 2015
Severe sepsis is a significant cause of rehospitalization along the lines of nationally recognized outcome measures and more commonly discussed conditions such as heart failure (HF) and pneumonia, said Darya Rudym, MD, New ...

Rehospitalization in younger patients

September 30, 2014
Older adults often are readmitted after hospitalization for heart failure, pneumonia, and acute myocardial infarction, a significant issue that has caused Medicare to target hospitals with high 30-day readmission rates for ...

Heart failure readmissions reduced with new optimization approach

June 10, 2015
People hospitalized for heart failure had a significantly lower chance of being readmitted within 30 days of discharge when treated with a cardiac resynchronization therapy device, or CRT, equipped with an algorithm to automatically ...

Length of lookback period important in incident AMI trends

June 11, 2015
(HealthDay)—The length of the lookback period (LP) affects trends in incident acute myocardial infarction (AMI), with a greater effect in women, according to a study published online June 9 in Circulation: Cardiovascular ...

Single 30-day hospital readmission metric fails to reflect changing risk factors

June 2, 2015
A new study from researchers at Beth Israel Deaconess Medical Center (BIDMC) suggests that risk factors for readmission change significantly over the course of the 30 days following hospital discharge. Thirty-day hospital ...

Short hospital stays don't impair STEMI outcomes in seniors

March 25, 2015
(HealthDay)—For older patients undergoing primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI), outcomes are similar for discharge after 48 hours versus four to five days, ...

Recommended for you

Juul e-cigarettes pose addiction risk for young users, study finds

October 19, 2018
Teens and young adults who use Juul brand e-cigarettes are failing to recognize the product's addictive potential, despite using it more often than their peers who smoke conventional cigarettes, according to a new study by ...

Self-lubricating latex could boost condom use: study

October 17, 2018
A perpetually unctuous, self-lubricating latex developed by a team of scientists in Boston could boost the use of condoms, they reported Wednesday in the journal Royal Society Open Science.

Engineered enzyme eliminates nicotine addiction in preclinical tests

October 17, 2018
Scientists at Scripps Research have successfully tested a potential new smoking-cessation treatment in rodents.

Nutrition has a greater impact on bone strength than exercise

October 17, 2018
One question that scientists and fitness experts alike would love to answer is whether exercise or nutrition has a bigger positive impact on bone strength.

How healthy will we be in 2040?

October 17, 2018
A new scientific study of forecasts and alternative scenarios for life expectancy and major causes of death in 2040 shows all countries are likely to experience at least a slight increase in lifespans. In contrast, one scenario ...

Study finds evidence of intergenerational transmission of trauma among ex-POWs from the Civil War

October 16, 2018
A trio of researchers affiliated with the National Bureau of Economic Research has found evidence that suggests men who were traumatized while POWs during the U.S. Civil War transmitted that trauma to their offspring—many ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.