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- W2183871529 abstract "Background: Patients who are discharged from acutehospitals to community hospitals are often readmitted. Weconducted a medical record audit for a sample of patientswho were admitted to the acute hospital (AH), transferred toa community hospital (CH) and readmitted to the same acutehospital over a 12 month period.Aims: 1. To examine characteristics of patientswho were readmitted to an AH after a CH stay.2. To examine the appropriateness of actions prior toreadmission from CH to AH.Methods: A retrospective review of patient records wasundertaken between April 2012-March 2013 for one AH andten CHs serving the same geographical location. Phase 1audit entailed detailed review of the patient stay in AH andCH. We reviewed the complete AH and CH episode of carefor 25 patients, giving 50 episodes of care. The Phase 2 auditentailed detailed review of the decision processes underpinningtransfer/readmission for 40 patients and expert review of theappropriateness of the transfer.Results: The median age of the patients was 83 years(IQR 7.50). Median length of stay for the AH episode was 9days (IQR 11.75). The patients reviewed were physiologicallyunstable during AH and CH episodes of care. However, none ofthe patients were acutely unwell in the few hours before transferfrom AH to CH. Re-admission to the AH was undertaken outof hours (including weekend day time) for 39 (55%) patients.In Phase 2 most readmissions were deemed appropriate(31/40; 77.5%). Out of hours readmission across both phaseswas significantly associated with out of hours transfer (χ2 4.812,p=0.028) and longer AH length of stay (χ 2 12.751, p=0.047).Conclusions: Timing of transfer from AH to CH shouldbe optimised to ensure patients are discharged when the fullrange of services is available. CH services could be configureddifferently with diagnostic and access to doctors provided forlonger hours in a smaller number of CH." @default.
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- W2183871529 date "2015-01-01" @default.
- W2183871529 modified "2023-09-28" @default.
- W2183871529 title "Transfer and readmission of patients between acute and community hospitals: a retrospective review" @default.
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