Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (2): 90-95.doi: 10.6040/j.issn.1671-7554.0.2019.1457

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A study of unplanned readmission within 31 days during 2018 in a tertiary hospital in Jinan

ZHANG Yongyuan, WANG Qingliang, LI Xiangyi, LIU Yingjun, FEI Jianchun, YANG Jie   

  1. Medical Department, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Online:2020-02-10 Published:2022-09-27

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Abstract: Objective To investigate the current status and influencing factors of unplanned readmission within 31 days after discharge in a tertiary hospital in Jinan. Methods A total of 2828 inpatients of unplanned readmission with 31 days during January 1st and December 31st, 2018 were enrolled. The descriptive analysis was employed, and Logistic regression was conducted to analyze the influencing factors. Results The unplanned readmission rate was 1.79%, and the mortality of unplanned readmission inpatients was 2.76%. The departments with high unplanned readmission rate focused on Department of Hepatology, Department of Rheumatology and Department of Geriatrics, and mainly due to chronic diseases and malignant tumors. The major influencing factors were inpatients age(OR=1.025,95%CI:1.023-1.028), previous length of stay in hospital(OR=1.021,95%CI:1.018-1.025), hospitalization times(OR=1.094,95%CI:1.087-1.101), district(OR=1.346, 95%CI: 1.244-1.455), marital status(unmarried: OR=3.280,95%CI:2.788-3.859; widowed: OR=1.954,95%CI:1.502-2.541), previous ways of discharge(discharge without doctors advice: OR=1.406,95%CI:1.173-1.685), previous operation(OR=0.628,95%CI:0.577-0.684)and medical insurance status(OR=0.594,95%CI:0.537-0.657). Conclusion The hospital should improve the supervision of unplanned readmission, standardize the diagnosis and treatment process, avoid decomposition of hospitalization, promote the hierarchical medical system, correctly guide the needs of patients, reduce the unplanned readmission rate and lighten the burden of patients.

Key words: Unplanned readmission, Medical quality, Hierarchical medical system, Chronic diseases, Influencing factor

CLC Number: 

  • R197.3
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