Retrospective study of early readmissions to an Internal Medicine Department

Objective. To determine the frequency of hospital re-admissions to an Inter nal Medicine Department at a Community General Hospital as well as variable s associated with them. Methods. Analysis of hospital discharges during 1997. Data were provided by the Coding and Filing Service, and included sociodemographic data and aspe cts related to medical care to each patient, as well as discharge DRF accor ding to the HCFA version. A logistic regression model was developed to iden tify variables independently associated with early re-admission risk (less than 30 days after discharge). Results. The rate of early re-admission was 7.4%. The variables associated with a higher risk of admission included age, a hospital stay longer than t he mean at first admission, and AIDS-associated conditions and heart diseas es as main discharge diagnoses. Conclusions. Based on our data, we cannot consider the readmission rates as a reliable index in itself to be assessed negatively, as some re-admission s come unexpectedly and/or are unavoidable.