Sunday, 2 April 2023

The Revolving Door Syndrome in Internal Medicine: A Study on 11,846 Subjects Discharged from All Internal Medicine Departments of Tuscany with Diagnosis of Heart Failure and Pneumonia | Chapter 14 | Research Developments in Medicine and Medical Science Vol. 6

Rehospitalization is the return of a patient to a surgical or healing department within 30 days from discharge. We have restricted information on the repetitiveness and patterns of rehospitalization in Italy. Our purpose is to describe this wonder in Tuscany. We analyzed territorial hospital discharge abstract data in Tuscany 2012, to interpret 30-day all cause readmissions. We intentional patients aged 18 or more (11,846) fulfilled with diagnoses of heart attack and pneumonia from Internal Medicine Departments. Relationships between 30-day readmission rates, mathematical and clinical traits have been analyzed. 18% and 15% of issues respectively dismissed with diagnosis of heart attack and pneumonia were readmitted within 30 days. Risk determinants significantly related to readmissions were more protracted length of stay, growing number of different medications captured during the period preceding hospitalization and most of hospitalizations during the term preceding admission. From the study of risk factors we erect that frailty and complexity of cases (identified by long treatment stays, high number of drugs and previous admissions) are ultimate important determinants for unplanned readmissions.

Author(s) Details:

Matteo Tellini,
Dipartimento di Medicina Interna, AOU Careggi, Firenze, Italy.

Alessandra Petrioli,
Dipartimento di Medicina Interna, AOU Careggi, Firenze, Italy.

Silvia Forni,
Agenzia Regionale di Sanità Toscana, Firenze, Italy.

Alessandro Morettini,
Dipartimento di Medicina Interna, AOU Careggi, Firenze, Italy.

Please see the link here: https://stm.bookpi.org/RDMMS-V6/article/view/10030

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