Irish Journal of Medical Science

, Volume 179, Issue 2, pp 255–258

Frequency and risk factors associated with emergency medical readmissions in Galway University Hospitals

Authors

  • J. Gorman
    • Regional Health OfficeMerlin Park University Hospital
  • A. Vellinga
    • Department of General PracticeNational University of Ireland
  • J. J. Gilmartin
    • Department of Respiratory MedicineMerlin Park University Hospital
    • Department of Geriatric Medicine, Unit 4Merlin Park University Hospital
Original Article

DOI: 10.1007/s11845-009-0452-z

Cite this article as:
Gorman, J., Vellinga, A., Gilmartin, J.J. et al. Ir J Med Sci (2010) 179: 255. doi:10.1007/s11845-009-0452-z

Abstract

Background

Unplanned readmissions of medical hospital patients have been increasing in recent years. We examined the frequency and associates of emergency medical readmissions to Galway University Hospitals (GUH).

Method

Readmissions during the calendar year 2006 were examined using hospital in-patient enquiry data. Associations with clinical and demographic factors were determined using univariate and multivariate analyses.

Results

The medical emergency readmission rate to GUH, after correction for death during the index admission, was 19.5%. Age 65 years or more, male gender, length of stay more than 7 days and primary diagnoses of chronic obstructive pulmonary disease, myocardial infarction, alcohol-related disease and heart failure during the index admission were significantly associated with readmission in univariate and multivariate analyses.

Conclusion

The medical emergency readmission rate in GUH is comparable to other acute hospitals in Ireland and Britain. Further evaluation is needed to estimate the proportion of readmissions that are potentially avoidable.

Keywords

Hospital readmission International classification of diseases Chronic diseases

Copyright information

© Royal Academy of Medicine in Ireland 2009