Title: Risk Factors For Unplanned Readmission In Older Adult Trauma Patients In Our Institute
Authors: Dr. C. Z. Pardeshi, Dr. Karan Kumar, Dr. Parag Kamboj, Dr. Hrishikesh Deka, Dr. Gayatri, Dr. Sudanshu V. Tripathi, Dr. Ajinkya N. Puppal
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.19
Abstract
Objective- To determine the unplanned admissions after hospitalization for trauma and risk factors for this readmissions and identifying the most common cause for the same.
Material and Methods- This retrospective cohort study includes all cohort patients ages 55 and above who got admitted in Krishna Institute of Medical Sciences, Karad between September 2014 to November 2016. Data is entered for all patients who have traumatic diagnosis ICD-9.
Results- The ICD-9 diagnosis codes that were recorded for the readmissions in this study were compiled, and the 3 codes that were noted most commonly used were the same for all readmission end points; atrial fibrillation, anemia (“post-hemorrhagic” or “other/ unspecified”), and congestive heart failure (“acute on chronic” or “unspecified”). These diagnoses accounted for a mean of 13%, 13%, and 11% of readmission diagnoses, respectively.
Conclusion- Our study shows post traumatic unplanned readmissions in older adult causes huge health care burden even after a year of discharge especially in patients who had history of falls, severe head trauma, admission in ICU or those who could not be discharged home independently.
Keywords- unplanned readmissions, older trauma adults, ICD-9.
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