Preventability of Early Versus Late Hospital Readmissions
Authors: Tetsuo Takata, Yuki Katoka
Journal: Annals of Internal Medicine (2019)

Letters5 February 2019Preventability of Early Versus Late Hospital ReadmissionsTetsuo Takata, MD, PhD and Yuki Katoka, MD, MPHTetsuo Takata, MD, PhDHyogo Prefectural Amagasaki General Medical Center, Kobe City, Japan (T.T.)Search for more papers by this author and Yuki Katoka, MD, MPHHyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan (Y.K.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0606 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We appreciate Graham and colleagues' (1) efforts to collect important data. The time required to observe patients until readmission is a very valuable point for medical economics. However, we had 2 concerns about patient characteristics.Our first concern is disease severity. Woldhek and associates (2) reported that greater increases in the Sequential Organ Failure Assessment score among patients in the intensive care unit correspond with higher rates of readmission. Frost and coworkers (3) also reported relationships between illness severity and risk for readmission. In daily medical practice, patients with critical illnesses have prolonged hospitalizations. We would like ...References1. Graham KL, Auerbach AD, Schnipper JL, Flanders SA, Kim CS, Robinson EJ, et al. Preventability of early versus late hospital readmissions in a national cohort of general medicine patients. Ann Intern Med. 2018;168:766-74. [PMID: 29710243]. doi:10.7326/M17-1724 LinkGoogle Scholar2. Woldhek AL, Rijkenberg S, Bosman RJ, van der Voort PH. Readmission of ICU patients: a quality indicator? J Crit Care. 2017;38:328-34. [PMID: 27939901] doi:10.1016/j.jcrc.2016.12.001 CrossrefMedlineGoogle Scholar3. Frost SA, Alexandrou E, Bogdanovski T, Salamonson Y, Davidson PM, Parr MJ, et al. Severity of illness and risk of readmission to intensive care: a meta-analysis. Resuscitation. 2009;80:505-10. [PMID: 19342149] doi:10.1016/j.resuscitation.2009.02.015 CrossrefMedlineGoogle Scholar4. Ortego A, Gaieski DF, Fuchs BD, Jones T, Halpern SD, Small DS, et al. Hospital-based acute care use in survivors of septic shock. Crit Care Med. 2015;43:729-37. [PMID: 25365724] doi:10.1097/CCM.0000000000000693 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Hyogo Prefectural Amagasaki General Medical Center, Kobe City, Japan (T.T.)Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan (Y.K.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0606. 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 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 Preventability of Early Versus Late Hospital Readmissions Gigi Nickas Preventability of Early Versus Late Hospital Readmissions Kelly L. Graham , Andrew D. Auerbach , and Shoshana J. Herzig Preventability of Early Versus Late Hospital Readmissions David B. Edwards Metrics 5 February 2019Volume 170, Issue 3Page: 218-219KeywordsConflicts of interestDisclosureHospitalizationsIntensive care unitsRisk managementSequential organ failure assessmentShock ePublished: 5 February 2019 Issue Published: 5 February 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...