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The aim of this study was to examine the association between DPMs and: unplanned hospital readmissions within 28 days.: Methods: This study enrolled patients aged 65 years or older who were admitted to the St.: Luke’s International Hospital between April 1, 2009 and March 31, 2019. The primary: outcome was 28-day unplanned all-cause hospital readmission, and the secondary outcomes: included 28-day emergency department (ED) visits and all-cause death after hospital: discharge. Multiple logistic regression, Firth logistic regression, and propensity score analysis: assessed the association between DPMs and outcomes of interest. Both complete cases and: multiple imputation (MI) analyses were performed.: Results: A total of 15,324 patients were analyzed in this study. Multiple logistic regression: showed no significant association between DPMs and 28-day hospital readmission (Odds: ratio [OR]: 0.58, 95% confidence interval [CI]: 0.20-1.69 for not using MI; OR: 0.63, 95%: CI: 0.37-1.08 for using MI). In addition, no significant associations were demonstrated by: Firth logistic regression (OR: 0.53, 95% CI: 0.16-1.69 for not using MI; OR: 0.65, 95% CI:: 0.38-1.10 for using MI) and propensity score analysis (OR: 0.93, 95% CI: 0.86-1.01). 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The Association of Discharge Planning Meetings and Unplanned 28-Day Hospital Readmissions in Older Patients: A Retrospective Single-Center Cohort Study
http://hdl.handle.net/10285/13581
http://hdl.handle.net/10285/13581710b5651-1719-4fd8-b736-1f200c9f33ac
名前 / ファイル | ライセンス | アクション |
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論文要旨 (77.2 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2020-06-05 | |||||
タイトル | ||||||
タイトル | The Association of Discharge Planning Meetings and Unplanned 28-Day Hospital Readmissions in Older Patients: A Retrospective Single-Center Cohort Study | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題 | hospital readmission | |||||
キーワード | ||||||
主題 | older adults | |||||
キーワード | ||||||
主題 | transitions of care | |||||
キーワード | ||||||
主題 | discharge planning | |||||
キーワード | ||||||
主題 | retrospective cohort study | |||||
キーワード | ||||||
主題 | logistic regression | |||||
キーワード | ||||||
主題 | 28-day hospital readmission | |||||
キーワード | ||||||
主題 | 28-day emergency department visit | |||||
キーワード | ||||||
主題 | all-cause mortality | |||||
資源タイプ | ||||||
資源タイプ | thesis | |||||
その他(別言語等)のタイトル | ||||||
その他のタイトル | 退院前カンファレンスと再入院率の関連性 | |||||
著者 |
河口, 謙二郎
× 河口, 謙二郎× Kawaguchi, Kenjiro |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Discharge planning meeting (DPM) was introduced into the health insurance: system in Japan for the purpose of successful transitions of care and reduction in hospital: readmissions. The aim of this study was to examine the association between DPMs and: unplanned hospital readmissions within 28 days.: Methods: This study enrolled patients aged 65 years or older who were admitted to the St.: Luke’s International Hospital between April 1, 2009 and March 31, 2019. The primary: outcome was 28-day unplanned all-cause hospital readmission, and the secondary outcomes: included 28-day emergency department (ED) visits and all-cause death after hospital: discharge. Multiple logistic regression, Firth logistic regression, and propensity score analysis: assessed the association between DPMs and outcomes of interest. Both complete cases and: multiple imputation (MI) analyses were performed.: Results: A total of 15,324 patients were analyzed in this study. Multiple logistic regression: showed no significant association between DPMs and 28-day hospital readmission (Odds: ratio [OR]: 0.58, 95% confidence interval [CI]: 0.20-1.69 for not using MI; OR: 0.63, 95%: CI: 0.37-1.08 for using MI). In addition, no significant associations were demonstrated by: Firth logistic regression (OR: 0.53, 95% CI: 0.16-1.69 for not using MI; OR: 0.65, 95% CI:: 0.38-1.10 for using MI) and propensity score analysis (OR: 0.93, 95% CI: 0.86-1.01). In: terms of 28-day ED visits and all-cause death after discharge, no significant results were: obtained.: Conclusion: The findings of this study may indicate that it is necessary to review and refine: DPMs and communication between the hospital and community care providers. | |||||
学位名 | ||||||
学位名 | 修士(公衆衛生学) | |||||
学位授与機関 | ||||||
学位授与機関名 | 聖路加国際大学 | |||||
学位授与年度 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 2019 | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2020-03-10 | |||||
学位授与番号 | ||||||
学位授与番号 | 32633公修専第049 |