EARLY HOSPITAL READMISSION INCREASES SHORT AND LONG - TERM MORTALITY IN PATIENTS WITH INTERSTITIAL LUNG DISEASE
Por:
Castillo, D, Barril, S, Rodrigo-Troyano, A, Millan-Billi, P, Suarez-Cuartin, G, Alonso, A, Franquet, T, Lopez-Vilaro, L, Castellvi, I, Plaza, V, Sibila, O
Publicada:
1 ene 2021
Resumen:
Objective: To investigate the prognostic impact of early readmission (30 days) on hospitalized patients with Interstitial Lung Disease (ILD). Methods: Observational study analysing a cohort of patients hospitalized in a respiratory ward at a University Hospital. Demographic, clinical data and survival status were collected from patients' records. Early readmission was defined as hospitalization within 30 days after patient's discharge. The primary outcome was 90-day and 1-year all-cause mortality.Results: Between 2013 to 2016, a total of 2.238 patients were admitted to the respiratory ward and 98 (%) had a diagnosis of ILD. Among them, 74 patients were discharged (25% in-hospital mortality). Early readmission was observed in 15 cases (20.2%). Early readmitted patients were more frequently current smokers (20% vs. 2%, p=0.02). After a multivariate analysis, early readmission was found to be independently associated with 90-day and 1 year mortality (Odds Ratio (OR) 17.6, 95% Confidence Interval (CI) 4.5-69-2, p=0.001 and OR 4.5; 95CI 1.3-15.2, p=0.01, respectively).Conclusion: In patients with ILD, early readmission after hospitalization increases both short-term and long term mortality. Thus, preventing early readmission after discharge from hospital admission may have an impact in the clinical course of ILD patients. Further studies are required to identify factors contributing to early readmission.
Filiaciones:
Castillo, D:
Hosp Santa Creu & Sant Pau, Resp Dept, C Sant Antoni M Claret 167, Barcelona 08029, Spain
St Pau Biomed Res Inst IIB St Pau, Barcelona, Spain
Barril, S:
Hosp Santa Creu & Sant Pau, Resp Dept, C Sant Antoni M Claret 167, Barcelona 08029, Spain
Hosp Arnau Vilanova, Resp Dept, Lleida, Spain
Rodrigo-Troyano, A:
Hosp Santa Creu & Sant Pau, Resp Dept, C Sant Antoni M Claret 167, Barcelona 08029, Spain
Hosp Univ Son Espases, Resp Deparment, Palma De Mallorca, Illes Balears, Spain
Millan-Billi, P:
Hosp Santa Creu & Sant Pau, Resp Dept, C Sant Antoni M Claret 167, Barcelona 08029, Spain
Hosp Badalona Germans Trias & Pujol, Resp Dept, Badalona, Spain
Suarez-Cuartin, G:
Hosp Santa Creu & Sant Pau, Resp Dept, C Sant Antoni M Claret 167, Barcelona 08029, Spain
Hosp Univ Bellvitge, Resp Dept, Lhospitalet De Llobregat, Spain
Alonso, A:
Hosp Santa Creu & Sant Pau, Resp Dept, C Sant Antoni M Claret 167, Barcelona 08029, Spain
St Pau Biomed Res Inst IIB St Pau, Barcelona, Spain
Franquet, T:
St Pau Biomed Res Inst IIB St Pau, Barcelona, Spain
Hosp Santa Creu & Sant Pau, Dept Radiol, Barcelona, Spain
Lopez-Vilaro, L:
St Pau Biomed Res Inst IIB St Pau, Barcelona, Spain
Hosp Santa Creu & Sant Pau, Dept Histopathol, Barcelona, Spain
Castellvi, I:
St Pau Biomed Res Inst IIB St Pau, Barcelona, Spain
Hosp Santa Creu & Sant Pau, Dept Rheumatol, Barcelona, Spain
Plaza, V:
Hosp Santa Creu & Sant Pau, Resp Dept, C Sant Antoni M Claret 167, Barcelona 08029, Spain
St Pau Biomed Res Inst IIB St Pau, Barcelona, Spain
Sibila, O:
Hosp Santa Creu & Sant Pau, Resp Dept, C Sant Antoni M Claret 167, Barcelona 08029, Spain
Hosp Clin Barcelona, Thorax Inst, Barcelona, Spain
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