Understanding Potentially Preventable 7-day Readmission Rates in Hospital Medicine Patients at a Comprehensive Cancer Center

Author:

Leung Cerena K.1,Walton Natalie C.1,Kheder Ed1,Zalpour Ali2,Wang Justine2,Zavgorodnyaya Daria3,Kondody Sonia1,Zhao Christina1,Lin Heather4,Bruera Eduardo5,Manzano Joanna-Grace M.1

Affiliation:

1. Department of Hospital Medicine, The University of Texas, MD Anderson Cancer Center, Houston, Texas

2. Department of Pharmacy Clinical Programs, The University of Texas, MD Anderson Cancer Center, Houston, Texas

3. Department of Pharmacy, Brooklyn Hospital Center, Brooklyn, New York

4. Department of Biostatistics, The University of Texas, MD Anderson Cancer Center, Houston, Texas

5. Department of Palliative Care Medicine, The University of Texas, MD Anderson Cancer Center, Houston, Texas

Abstract

This study aimed to describe the potentially preventable 7-day unplanned readmission (PPR) rate in medical oncology patients. A retrospective analysis of all unplanned 7-day readmissions within Hospital Medicine at MD Anderson Cancer Center from September 1, 2020 to February 28, 2021, was performed. Readmissions were independently analyzed by 2 randomly selected individuals to determine preventability. Discordant reviews were resolved by a third reviewer to reach a consensus. Statistical analysis included 138 unplanned readmissions. The estimated PPR rate was 15.94%. The median age was 62.50 years; 52.90% were female. The most common type of cancer was noncolon GI malignancy (34.06%). Most patients had stage 4 cancer (69.57%) and were discharged home (64.93%). Premature discharge followed by missed opportunities for goals of care discussions were the most cited reasons for potential preventability. These findings highlight areas where care delivery can be improved to mitigate the risk of readmission within the medical oncology population.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Health Policy

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