In in this large database analysis of over 10,000 general medical discharges from 6 academic medical centers, seven factors emerged as significant predictors of early readmission. These included insurance status, marital status, having a regular physician, Charlson index, SF12 physical component score, 1+ admits in the last year, and current LOS >2 days. These 7 factors, easily derived from administrative data, can be used to identify those at high risk for readmissions, who may benefit from additional discharge resources to prevent readmissions (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.