8 predictors of 30-day readmission for diverticular haemorrhage
A recent study has identified multiple comorbidities that increase the risk of 30-day readmission for diverticular haemorrhage, which stands at 12 percent.
A total of 29,090 index hospitalizations for diverticular haemorrhage were analysed. Of these, 3,484 (12 percent) 30-day readmissions occurred, with a diagnosis of recurrent diverticular haemorrhage in 896 (3 percent) cases.
The following factors increased the risk of 30-day readmission: index admission with renal failure (odds ratio [OR], 1.31; 95 percent CI, 1.19–1.43), congestive heart failure (OR, 1.30; 1.17–1.43), chronic pulmonary disease (OR, 1.19; 1.09–1.29), coronary artery disease (OR, 1.12; 1.03–1.21), atrial fibrillation (OR, 1.12; 1.02–1.22), cirrhosis (OR, 1.95; 1.29–2.93), performance of blood transfusion (OR, 1.23; 1.15–1.33) and abdominal surgery (OR, 1.24; 1.03–1.49).
In this study, the authors utilized the 2013 National Readmission Database sponsored by the Agency for Healthcare Research and Quality focusing on hospitalizations with the primary or secondary discharge diagnosis of diverticular haemorrhage or diverticulitis with haemorrhage. Repeat readmissions, index hospitalizations during December and those resulting in death were excluded.
Readmission within 30 days of index hospital discharge was the primary outcome, while secondary outcomes of interest included medical and procedural comorbid risk factors. Logistic regression analysis was used to analyse data.
“The 2010 Affordable Care Act introduced the Hospital Readmissions Reduction Program to reduce healthcare utilization. Diverticular disease and its complications remain a leading cause of hospitalization among gastrointestinal disease,” the authors noted.