@misc{oai:luke.repo.nii.ac.jp:00002133, author = {河口, 謙二郎 and Kawaguchi, Kenjiro}, month = {2021-09-15}, note = {2019, 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.}, title = {The Association of Discharge Planning Meetings and Unplanned 28-Day Hospital Readmissions in Older Patients: A Retrospective Single-Center Cohort Study}, year = {}, yomi = {カワグチ, ケンジロウ} }