| Item type |
学位論文 / Thesis or Dissertation(1) |
| 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
Kawaguchi, Kenjiro
|
| 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 |
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|
学位名 |
修士(公衆衛生学) |
| 学位授与機関 |
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|
学位授与機関名 |
聖路加国際大学 |
| 学位授与年度 |
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内容記述 |
2019 |
| 学位授与年月日 |
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|
学位授与年月日 |
2020-03-10 |
| 学位授与番号 |
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|
学位授与番号 |
32633公修専第049 |
![MP[049]_abst.pdf](/static/images/icon/icon_16_pdf.jpg){kind=icon}
論文要旨 (77.2 kB)
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