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Lack of association between patients' measured burden of disease and risk for hospital readmission.

Publication ,  Journal Article
Waite, K; Oddone, E; Weinberger, M; Samsa, G; Foy, M; Henderson, W
Published in: J Clin Epidemiol
November 1994

Identifying patients at increased risk for hospital readmission is important for clinicians, health policy-makers, hospital administrators, and researchers. We used a retrospective case-control design to compare the clinimetric properties of five validated indices that measure a patient's disease burden. The study was conducted on a random sample of patients discharged from the general medicine service at the Durham Department of Veterans Affairs Medical Center. Trained observers (two research assistants, one nurse, and two physicians) blinded to readmission status abstracted the required data elements from the medical record for three indices (Charlson, Kaplan-Feinstein, Index of Coexistent Disease). The hospital's computer provided data elements for two indices (Smith, adapted Charlson). Indices varied in the time required to complete, the ability to capture individual heterogeneity, and inter-observer variability. However, none of the indices discriminated among patients who did and those who did not have 6-month hospital readmissions. Factors other than summary scores derived from these indices should be used to identify patients at high risk for readmission.

Duke Scholars

Published In

J Clin Epidemiol

DOI

ISSN

0895-4356

Publication Date

November 1994

Volume

47

Issue

11

Start / End Page

1229 / 1236

Location

United States

Related Subject Headings

  • Single-Blind Method
  • Severity of Illness Index
  • Risk
  • Patients
  • Patient Readmission
  • Observer Variation
  • Middle Aged
  • Male
  • Humans
  • Female
 

Citation

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Waite, K., Oddone, E., Weinberger, M., Samsa, G., Foy, M., & Henderson, W. (1994). Lack of association between patients' measured burden of disease and risk for hospital readmission. J Clin Epidemiol, 47(11), 1229–1236. https://doi.org/10.1016/0895-4356(94)90127-9
Waite, K., E. Oddone, M. Weinberger, G. Samsa, M. Foy, and W. Henderson. “Lack of association between patients' measured burden of disease and risk for hospital readmission.J Clin Epidemiol 47, no. 11 (November 1994): 1229–36. https://doi.org/10.1016/0895-4356(94)90127-9.
Waite K, Oddone E, Weinberger M, Samsa G, Foy M, Henderson W. Lack of association between patients' measured burden of disease and risk for hospital readmission. J Clin Epidemiol. 1994 Nov;47(11):1229–36.
Waite, K., et al. “Lack of association between patients' measured burden of disease and risk for hospital readmission.J Clin Epidemiol, vol. 47, no. 11, Nov. 1994, pp. 1229–36. Pubmed, doi:10.1016/0895-4356(94)90127-9.
Waite K, Oddone E, Weinberger M, Samsa G, Foy M, Henderson W. Lack of association between patients' measured burden of disease and risk for hospital readmission. J Clin Epidemiol. 1994 Nov;47(11):1229–1236.
Journal cover image

Published In

J Clin Epidemiol

DOI

ISSN

0895-4356

Publication Date

November 1994

Volume

47

Issue

11

Start / End Page

1229 / 1236

Location

United States

Related Subject Headings

  • Single-Blind Method
  • Severity of Illness Index
  • Risk
  • Patients
  • Patient Readmission
  • Observer Variation
  • Middle Aged
  • Male
  • Humans
  • Female