Predictors of 30-day unplanned hospital readmissions among maintenance dialysis patients
https://doi.org/10.47895/amp.vi0.7018
- Author:
Chicki Florette C. Uy
1
;
Sheryll Anne R. Manalili
1
;
Lynn A. Gomez
1
Author Information
1. Division of Nephrology, Department of Medicine, Philippine General Hospital, University of the Philippines Manila
- Publication Type:Journal Article
- Keywords:
ESKD
- MeSH:
Patient Readmission;
Dialysis;
Risk Factors
- From:
Acta Medica Philippina
2024;58(5):43-51
- CountryPhilippines
- Language:English
-
Abstract:
Background and Objectives:Patients on dialysis are twice as likely to have early readmissions. This study aimed to identify risk factors for 30-day unplanned readmission among patients on maintenance dialysis in a tertiary hospital.
Methods:We conducted a retrospective, unmatched, case-control study. Data were taken from patients on
maintenance hemodialysis admitted in the University of the Philippines–Philippine General Hospital (UP-PGH)
between January 2018 and December 2020. Patients with 30-day readmission were included as cases and patients with >30-day readmissions were taken as controls. Multivariable regression with 30-day readmission as the outcome was used to identify significant predictors of early readmission.
Results:The prevalence of 30-day unplanned readmission among patients on dialysis is 36.96%, 95%CI [31.67,
42.48]. In total, 119 cases and 203 controls were analyzed. Two factors were significantly associated with early
readmission: the presence of chronic glomerulonephritis [OR 2.35, 95% CI 1.36 to 4.07, p-value=0.002] and number of comorbidities [OR 1.34, 95% CI 1.12 to 1.61, p-value=0.002]. The most common reasons for early readmission are infection, anemia, and uremia/underdialysis.
Conclusion:Patients with chronic glomerulonephritis and multiple comorbidities have significantly increased odds of early readmission. Careful discharge planning and close follow up of these patients may reduce early readmissions.
- Full text:7018-Article Text-105637-2-10-20240321.pdf
