Hospital Readmissions - Independent Predictors of 30-day Readmissions derived from a 10 year Database

Unplanned medical 30 day readmissions place a burden on the provision of acute hospital services and are increasingly used as quality indicators to assess quality of care in hospitals. Multivariable logistic regression of a 10 year database showed that four factors were most strongly associated with early readmission: [1] Charlson comorbidity index >=1, [2] respiratory disease as a principal diagnosis, [3] liver disease and alcohol-related illness as an additional diagnosis, and [4] the number of previous readmissions. Disease and patient-related factors beyond control of the hospital are the factors most strongly associated with 30 day readmission to hospital, suggesting that this may not be an appropriate quality indicator.