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

Healthy diet linked to healthy cellular aging in women

August 20, 2018
Eating a diet that is rich in fruits, vegetables and whole grains and low in added sugar, sodium and processed meats could help promote healthy cellular aging in women, according to a new study published in the American Journal ...

Sitting for long hours found to reduce blood flow to the brain

August 20, 2018
A team of researchers with Liverpool John Moores University in the U.K. has found evidence of reduced blood flow to the brain in people who sit for long periods of time. In their paper published in the Journal of Applied ...

Balanced advice needed to address 'screen time' for children, study shows

August 20, 2018
Parents, health professionals and educators need clear and balanced information to help manage young children's use of mobile touch-screen devices in Australia, new research by Curtin University has found.

Students more likely to eat school breakfast when given extra time, new study finds

August 18, 2018
Primary school students are more likely to eat a nutritional breakfast when given 10 extra minutes to do so, according to a new study by researchers at Virginia Tech and Georgia Southern University.

Like shark attack and the lottery, unconscious bias influences cancer screening

August 17, 2018
What do shark attack, the lottery and ovarian cancer screening having in common? It turns out our judgments about these things are all influenced by unconscious bias.

Phantom odors: One American in 15 smells odors that aren't there, study finds

August 16, 2018
Imagine the foul smell of an ash tray or burning hair. Now imagine if these kinds of smells were present in your life, but without a source. A new study finds that 1 in 15 Americans (or 6.5 percent) over the age of 40 experiences ...

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.