Preventability of Early Versus Late Hospital Readmissions
Authors: Kelly L. Graham, Andrew D. Auerbach, Shoshana J. Herzig
Journal: Annals of Internal Medicine (2019)

Letters5 February 2019Preventability of Early Versus Late Hospital ReadmissionsKelly L. Graham, MD, MPH, Andrew D. Auerbach, MD, MPH, and Shoshana J. Herzig, MD, MPHKelly L. Graham, MD, MPHBeth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts (K.L.G., S.J.H.)Search for more papers by this author, Andrew D. Auerbach, MD, MPHUniversity of California, San Francisco, San Francisco, California (A.D.A.)Search for more papers by this author, and Shoshana J. Herzig, MD, MPHBeth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts (K.L.G., S.J.H.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0611 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We direct Dr. Edwards to the sensitivity analysis presented in Table 1 of our article, which uses a more stringent definition of preventability. This analysis resulted in a 16% incidence of preventability and produced a similar difference in preventability between early and late readmissions of 22.6% and 12.5%, respectively.Dr. Inagaki and colleagues, Dr. Mine and associates, and Drs. Takata and Katoka raised concerns about confounding by factors not included in our analysis. We chose not to include race, functional status, or other inherent patient characteristics because such factors are not taken into consideration when determining readmission penalties, ...References1. Graham KL, Wilker EH, Howell MD, Davis RB, Marcantonio ER. Differences between early and late readmissions among patients: a cohort study. Ann Intern Med. 2015;162:741-9. [PMID: 26030632]. doi:10.7326/M14-2159 LinkGoogle Scholar2. Graham KL, Dike O, Doctoroff L, Jupiter M, Vanka A, Davis RB, et al. Preventability of early vs. late readmissions in an academic medical center. PLoS One. 2017;12:e0178718. [PMID: 28622384] doi:10.1371/journal.pone.0178718 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts (K.L.G., S.J.H.)University of California, San Francisco, San Francisco, California (A.D.A.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-1724. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPreventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients Kelly L. Graham , Andrew D. Auerbach , Jeffrey L. Schnipper , Scott A. Flanders , Christopher S. Kim , Edmondo J. Robinson , Gregory W. Ruhnke , Larissa R. Thomas , Sunil Kripalani , Eduard E. Vasilevskis , Grant S. Fletcher , Neil J. Sehgal , Peter K. Lindenauer , Mark V. Williams , Joshua P. Metlay , Roger B. Davis , Julius Yang , Edward R. Marcantonio , and Shoshana J. Herzig Preventability of Early Versus Late Hospital Readmissions Yuji Inagaki , Masaki Maruta , Yasushi Nakano , and Jun Higuchi Preventability of Early Versus Late Hospital Readmissions Gigi Nickas Preventability of Early Versus Late Hospital Readmissions Tetsuo Takata and Yuki Katoka Preventability of Early Versus Late Hospital Readmissions David B. Edwards Preventability of Early Versus Late Hospital Readmissions Akihiro Mine , Soichiro Ikeda , Tetsuya Makiishi , and Rie Matsushita Preventability of Early Versus Late Hospital Readmissions Kazuya Nagasaki , Yutaro Akiyama , Mikio Hayashi , and Hideki Mori Metrics 5 February 2019Volume 170, Issue 3Page: 219-220KeywordsDisclosureFactor analysisOutpatientsRacial and ethnic issues ePublished: 5 February 2019 Issue Published: 5 February 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...