Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM On Twitter
  • JABFM On YouTube
  • JABFM On Facebook
Research ArticleOriginal Research

Are Patients Frequently Readmitted to the Hospital Different from the Other Admitted Patients?

Maribeth Porter, David Quillen, Denny Fe Agana, Lisa Chacko, Kimberly Lynch, Lauren Bielick, Xiaoqing Fu, Yang Yang and Peter J. Carek
The Journal of the American Board of Family Medicine January 2019, 32 (1) 58-64; DOI: https://doi.org/10.3122/jabfm.2019.01.180052
Maribeth Porter
the Department of Community Health and Family Medicine (MP, DQ, DFA, LC, KL, LB, and PJC) and Department of Biostatistic (XF and YY), University of Florida, Gainesville, FL.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David Quillen
the Department of Community Health and Family Medicine (MP, DQ, DFA, LC, KL, LB, and PJC) and Department of Biostatistic (XF and YY), University of Florida, Gainesville, FL.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Denny Fe Agana
the Department of Community Health and Family Medicine (MP, DQ, DFA, LC, KL, LB, and PJC) and Department of Biostatistic (XF and YY), University of Florida, Gainesville, FL.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lisa Chacko
the Department of Community Health and Family Medicine (MP, DQ, DFA, LC, KL, LB, and PJC) and Department of Biostatistic (XF and YY), University of Florida, Gainesville, FL.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kimberly Lynch
the Department of Community Health and Family Medicine (MP, DQ, DFA, LC, KL, LB, and PJC) and Department of Biostatistic (XF and YY), University of Florida, Gainesville, FL.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lauren Bielick
the Department of Community Health and Family Medicine (MP, DQ, DFA, LC, KL, LB, and PJC) and Department of Biostatistic (XF and YY), University of Florida, Gainesville, FL.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Xiaoqing Fu
the Department of Community Health and Family Medicine (MP, DQ, DFA, LC, KL, LB, and PJC) and Department of Biostatistic (XF and YY), University of Florida, Gainesville, FL.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Yang Yang
the Department of Community Health and Family Medicine (MP, DQ, DFA, LC, KL, LB, and PJC) and Department of Biostatistic (XF and YY), University of Florida, Gainesville, FL.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter J. Carek
the Department of Community Health and Family Medicine (MP, DQ, DFA, LC, KL, LB, and PJC) and Department of Biostatistic (XF and YY), University of Florida, Gainesville, FL.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1.

    Demographic Data of Patients Admitted and Readmitted to the Hospital

    DemographicSALfR (1 to 2)HfR (>3)P value
    SA vs LfRLfR vs HfRSA vs HfR
    Patients1410897314NANANA
    Age, mean (SD)58.7 (15.9)56.2 (18.2)56.1 (16.0).0099.63.019
    Sex
        Male, no. (%)555 (39.4)361 (40.2)153 (48.7).70.011.0028
        Female, no. (%)855 (60.6)536 (59.8)161 (51.3)
    Race
        White, no. (%)838 (59.4)527 (58.8)175 (55.7).92.40.33
        Black, no. (%)513 (36.4)330 (36.8)128 (40.8)
        Other, no. (%)59 (4.2)40 (4.5)11 (3.5)
    Ethnicity
        Hispanic, no. (%)41 (2.9)32 (3.6)13 (4.1).450.770.34
        Non-Hispanic, no. (%)1369 (97.1)865 (96.4)301 (95.9)
    Zip Code
        East area461 (32.7)277 (30.9)111 (35.4).056.34.19
        West area307 (21.8)168 (18.7)54 (17.2)
        Other642 (45.5)452 (50.4)149 (47.5)
    Marital Status
        Single, no. (%)681 (48.3)466 (52.0)183 (58.3).23.15.0059
        Married, no. (%)561 (39.8)332 (37.0)100 (31.8)
        Other, no. (%)168 (11.9)99 (11)31 (9.9)
    Insurance Status
        Medicare, no. (%)668 (47.4)428 (47.7)167 (53.2)<.001.021<.001
        Medicaid, no. (%)257 (18.2)227 (25.3)87 (27.7)
        Other, no. (%)485 (34.4)242 (27.0)60 (19.1)
        Deaths, no. (%)156 (11.1)193 (21.5)120 (38.2)<.001<.001<.001
    • SD, standard deviation; SA, single admissions; LfR, low-frequency readmissions; HfR, high-frequency admissions; NA, not applicable.

    • View popup
    Table 2.

    Medical Characteristics of Patients Admitted and Readmitted to the Hospital

    CharacteristicSALfR (1 to 2)HfR (>3)P value
    SA vs. LfRLfR vs. HfRSA vs. HfR
    Length of stay, mean (± SD)2.9 (2.9)4.5 (2.9)5.0 (3.5)<.001<.001<.001
    Psychiatric diagnosis*
        Yes602 (42.7)413 (46.0)174 (55.1).61.0063<.001
        No808 (57.3)484 (54.0)140 (44.9)
    Substance abuse diagnosis*
        Yes187 (13.0)115 (12.7)56 (19.1).56.0071.0095
        No1223 (87.0)782 (87.3)258 (80.9)
    Chronic pain diagnosis*
        Yes102 (6.9)71(7.8)37 (12.9).97.0089.0033
        No1308 (93.1)826 (92.2)277 (87.1)
    Medication list: mean (±SD)8.7 (5.7)9.8 (7.2)14.1 (7.4).0052<.001<.001
    Problems list, mean (±SD)12.7 (8.2)13.7 (9.7)19.5 (10.7).11<.001<.001
    Charlson index, mean (±SD)2.0 (2.1)3.0 (2.7)4.6 (2.7)<.001<.001<.001
    Morse Fall Score, mean (±SD)*48.6 (19.0)50.2 (17.5)52.8 (14.8)<.001.0049<.001
    • SD, standard deviation; SA, single admissions; LfR, low-frequency readmissions; HfR, high-frequency admissions.

    • ↵* Diagnosis found on problem list.

    • View popup
    Table 3.

    Top Primary Discharge Diagnoses

    SALfRHfR
    DiagnosisNDiagnosisNDiagnosisN
    Chest pain NOS (78650)90Septicemia NOS (0389)38Obs chro bronc w(ac) exac (49121)16
    Chest pain NEC (78659)88Chest pain NEC (78659)27Chest pain (NEC)12
    Septicemia NEC (0389)49Obs chro bronc w(ac) exac (49121)21Pneumonia, organism NOS (486)9
    Syncope and collapse (7802)44Acute kidney failure NOS (5849)21Septicemia NEC (0389)8
    Obs chro bronc w(ac) exac (49121)38Acute pancreatitis (5770)17Chest pain NOS (78650)8
    Pneumonia, organism NOS (486)34Chest pain NOS (78650)17Urinary tract infection NOS (5990)7
    Atrial fibrillation (42731)29Pneumonia, organism NOS (486)15Hb-SS disease with crisis (28262)6
    Acute kidney failure NOS (5849)29Acute on chronic systolic heart failure (42823)12Acute on chronic systolic heart failure (42823)
    Urinary tract infection NOS (5990)25Hypertension NOS (4019)11Antineoplastic chemotherapy encounter (V5811)6
    Cellulitis of leg (6826)24Subendocardial infarction, initial (41071)10Acute on chronic diastolic heart failure (42833)5
    • SA, single admissions; LfR, low-frequency readmissions; HfR, high-frequency admissions; NOS, not otherwise specified; NEC, not elsewhere classifiable; Hb-SS, sickle cell disease; Obs chro bronc w(ac) exac; obstructive chronic bronchitis with acute exacerbation.

    • View popup
    Table 4.

    Patient Characteristics at Time of Initial Admission that Predict High-Frequency Readmission

    PredictorCategoryHfR vs. Cohorts SA + LfR
    Odds Ratio (95% CI)P value
    Age groupYoung (<40 years of age)2.919 (1.921–4.140)<.001
    Middle (>40 and <60 years of age)1.582 (1.190–2.103).002
    Old (>60 years of age)——
    CCILow (<1)——
    Medium (2–4)1.952 (1.476–2.598)<.001
    High (>5)8.815 (5.725–13.859)<.001
    Morse fall scoreNo risk (0–24)——
    Low risk (25–50)1.952 (1.476–2.598)<.001
    Marital statusSingle1.358 (1.042–1.1772).024
    Medication listHigh (>12)1.380 (1.046–1.819).022
    Problem listHigh (>16)1.366 (1.037–1.797).026
    • CI, confidential interval; SA, single admissions; LfR, low-frequency readmissions; HfR, high-frequency admissions; CCI, Charlson Comorbidity Index.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family   Medicine: 32 (1)
The Journal of the American Board of Family Medicine
Vol. 32, Issue 1
January-February 2019
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Are Patients Frequently Readmitted to the Hospital Different from the Other Admitted Patients?
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
3 + 9 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Are Patients Frequently Readmitted to the Hospital Different from the Other Admitted Patients?
Maribeth Porter, David Quillen, Denny Fe Agana, Lisa Chacko, Kimberly Lynch, Lauren Bielick, Xiaoqing Fu, Yang Yang, Peter J. Carek
The Journal of the American Board of Family Medicine Jan 2019, 32 (1) 58-64; DOI: 10.3122/jabfm.2019.01.180052

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Are Patients Frequently Readmitted to the Hospital Different from the Other Admitted Patients?
Maribeth Porter, David Quillen, Denny Fe Agana, Lisa Chacko, Kimberly Lynch, Lauren Bielick, Xiaoqing Fu, Yang Yang, Peter J. Carek
The Journal of the American Board of Family Medicine Jan 2019, 32 (1) 58-64; DOI: 10.3122/jabfm.2019.01.180052
Reddit logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Notes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Conversations, Communication and Counseling Are Key Family Medicine Tactics to Improve Patient Health
  • Google Scholar

More in this TOC Section

  • Interpersonal Primary Care Continuity for Chronic Conditions Is Associated with Fewer Hospitalizations and Emergency Department Visits Among Medicaid Enrollees
  • Food Insecurity Screening in Safety-Net Clinics in Los Angeles County: Lessons for Post-Pandemic Planning
  • The Prevalence of Periodontitis Among US Adults with Multimorbidity Using NHANES Data 2011–2014
Show more Original Research

Similar Articles

Keywords

  • Hospitalization
  • Patient Care
  • Patient Discharge
  • Patient Readmission

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2023 American Board of Family Medicine

Powered by HighWire