Up to one-third of patients are readmitted to a different hospital although it is
unclear whether the readmission site affects subsequent outcomes. For example, although
most patients are readmitted to the original hospital, a substantial proportion of
patients are readmitted to a different hospital (16.7–29.3%) [
1
,
2
,
3
]. Readmission to different hospitals can contribute to care fragmentation, which
is concerning because the original hospital is more likely to understand the patient's
needs and develop a care plan. In contrast, the new hospital may have limited access
to the patient's medical records, which could delay appropriate diagnosis and/or treatment,
and subsequently affect the quality of care and risk of mortality [
[4]
,
[5]
]. In addition, readmission to a different hospital is associated with increased medical
costs, compared to readmission to the original hospital [
[6]
]. However, one study failed to detect significant differences in adverse outcomes,
including mortality, among patients who were readmitted to the original or a different
hospital [
[2]
]. Thus, additional studies are needed to examine the association between unplanned
readmission to a different hospital and patient outcomes. The present study examined
the association between unplanned readmission site and 30-day all-cause mortality
among patients with IHD.Keywords
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Article info
Publication history
Published online: January 19, 2018
Accepted:
January 11,
2018
Received in revised form:
January 10,
2018
Received:
January 2,
2018
Identification
Copyright
© 2018 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
