Factors associated with 14-day hospital readmission in frail older patients: A case-control study

Geriatr Nurs. 2022 Jan-Feb:43:146-150. doi: 10.1016/j.gerinurse.2021.11.015. Epub 2021 Dec 8.

Abstract

Frailty is a key predictor of readmission among older patients. However, studies on the factors associated with readmission of frail older patients are lacking. This study aims to examine factors associated with 14-day hospital readmission in frail older patients. A retrospective case-control study was conducted. Patients were eligible for inclusion if they were age 65 and over and if their Clinical Frailty Scale (CFS) score was above 4. A total of 210 frail older patients were included. Patients who had partners, experienced a fall within 6 months before hospitalization, had pressure injuries, received surgery or chemotherapy, and received rehabilitation therapy from a physical therapist during hospitalization had increased odds of being readmitted to the hospital within 14 days. Moreover, patients receiving comprehensive geriatric assessment (CGA) services during hospitalization showed a significantly reduced risk of readmission. Adapting CGA and developing continuity care plans from hospitals to the community are crucial.

Keywords: Factors; Frail; Older patients; Readmission.

MeSH terms

  • Aged
  • Case-Control Studies
  • Frail Elderly
  • Frailty*
  • Geriatric Assessment
  • Humans
  • Patient Readmission*
  • Retrospective Studies