Risk factors for 90-day readmission in veterans with inflammatory bowel disease—Does post-discharge follow-up matter?

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Risk factors for 90-day readmission in veterans with inflammatory bowel disease—Does post-discharge follow-up matter?

RESEARCH | Updated：2026-03-12

- Risk factors for 90-day readmission in veterans with inflammatory bowel disease—Does post-discharge follow-up matter?
- Risk factors for 90-day readmission in veterans with inflammatory bowel disease—Does post-discharge follow-up matter?
- MMR 2018年5卷第3期页码：216-221
- Affiliations：
  
  1.Center of Innovation, Minneapolis VA Health Care System, Minneapolis, MN 55147, USA
  2.Division of Gastroenterology, Department of Medicine, Minneapolis VA Medical Center, Minneapolis, MN 55147, USA
  3.Department of Medicine, University of Minnesota School of Medicine, Minneapolis, MN 55147, USA
  4.Department of Internal Medicine, Bassett Medical Center, Cooperstown, NY 13326, USA
- Author bio：
  
  *: ashish.malhotra@va.gov
- Funds：
- DOI：10.1186/s40779-018-0153-x
  中图分类号：
- 纸质出版：2018-09
- Accepted：
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Risk factors for 90-day readmission in veterans with inflammatory bowel disease—Does post-discharge follow-up matter?[J]. MMR, 2018,5(3):216-221.

Malhotra et al.: Risk factors for 90-day readmission in veterans with inflammatory bowel disease—Does post-discharge follow-up matter?. Mil Med Res, 2018, 5: 5
Risk factors for 90-day readmission in veterans with inflammatory bowel disease—Does post-discharge follow-up matter?[J]. MMR, 2018,5(3):216-221. DOI： 10.1186/s40779-018-0153-x.

Malhotra et al.: Risk factors for 90-day readmission in veterans with inflammatory bowel disease—Does post-discharge follow-up matter?. Mil Med Res, 2018, 5: 5 DOI： 10.1186/s40779-018-0153-x.

摘要

Abstract

Background:

2

Repeat hospitalizations in veterans with inflammatory bowel disease (IBD) are under studied. The early readmission rate and potentially modifiable risk-factors for 90-day readmission in veterans with IBD were studied to avert avoidable readmissions.

Methods:

2

A retrospective cohort study was conducted using the data from veterans who were admitted to the Minneapolis VA Medical Center (MVMC) between January 1

2007

and December 31

2013

for an IBD-related problem. All-cause readmissions within 30 and 90 days were recorded to calculate early readmission rates. The multivariate logistic regression was used to identify the potential risk factors for 90-day readmission.

Results:

2

There were 130 unique patients (56.9% with Crohn’s disease and 43.1% with ulcerative colitis) with 202 IBD-related index admissions. The mean age at the time of index admission was 59.8±15.2 years. The median time to re-hospitalization was 26 days (IQR 10-49)

with 30- and 90-day readmission rates of 17.3% (35/202) and 29.2% (59/202)

respectively. Reasons for all-cause readmission were IBD-related (71.2%)

scheduled surgery (3.4%) and non-gastrointestinal causes (25.4%). The following reasons were independently associated with 90-day readmission: Crohn’s disease (

OR

3.90; 95% CI 1.82-8.90)

use of antidepressants (

OR

2.19; 95% CI 1.12-4.32)

and lack of follow-up within 90 days with a primary care physician (PCP) (

OR

2.63; 95% CI 1.32-5.26) or a gastroenterologist (GI) (

OR

2.44; 95% CI 1.20-5.00). 51.0% and 49.0% of patients had documentation of a recommended outpatient follow-up with PCP and/or GI

respectively.

Conclusion:

2

Early readmission in IBD is common. Independent risk factors for 90-day readmission included Crohn’s disease

use of antidepressants and lack of follow-up visit with PCP or GI. Further research is required to determine if the appropriate timing of post-discharge follow-up can reduce IBD readmissions.

关键词

Keywords

references

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