1. Predictors of Hospital Readmission After Motor Vehicle Crash: Prospective Cohort Study.
- Author
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Carmo, Érica Assunção, Nery, Adriana Alves, Cardoso, Jefferson Paixão, Oliveira, Juliana da Silva, Rios, Marcela Andrade, Constâncio, Tatiane Oliveira de Souza, Ferreira, Luciano Nery, and Mota, Edilene Curvelo Hora
- Subjects
RELATIVE medical risk ,STATISTICS ,TRAFFIC accidents ,CONFIDENCE intervals ,HEALTH services accessibility ,MATHEMATICAL models ,WOUND infections ,MULTIVARIATE analysis ,AGE distribution ,ECONOMIC status ,PATIENT readmissions ,CONTINUING education units ,RACE ,RISK assessment ,SEVERITY of illness index ,SEX distribution ,THEORY ,DESCRIPTIVE statistics ,CHI-squared test ,EMPLOYMENT ,ALCOHOL drinking ,CRITICAL care medicine ,VICTIMS ,CONTINUING education of nurses ,STATISTICAL models ,WOUNDS & injuries ,LOGISTIC regression analysis ,DATA analysis software ,DISCHARGE planning ,LONGITUDINAL method ,POISSON distribution ,EMERGENCY medicine ,EDUCATIONAL attainment ,INSURANCE - Abstract
BACKGROUND: Motor vehicle crash (MVC) is a major public health problem worldwide and contributes to a large burden of death, disability, and economic loss. OBJECTIVE: To identify the predictors of hospital readmission in victims of MVC within 1 year after discharge. METHODS: A prospective cohort study conducted with individuals who suffered MVC admitted to a regional hospital and who were followed up for 12 months after discharge. Predictors of hospital readmission were verified by means of Poisson regression models with robust variance, using a hierarchical conceptual model. RESULTS: Of the 241 patients followed up, 200 were contacted and comprised the population of this study. Of these, 50 (25.0%) reported hospital readmission during the 12-month period after discharge. It was evidenced that being male (relative risk [RR] = 0.58; 95% CI [0.36, 0.95], p =.033) was a protective factor, whereas occurrences of greater severity (RR = 1.77; 95% CI [1.03, 3.02], p =.036), not receiving pre-hospital care (RR = 2.14; 95% CI [1.24, 3.69], p =.006), the occurrence of postdischarge infection (RR = 2.14; 95% CI [1.37, 3.36], p =.001), and having access to rehabilitation treatment (RR = 1.64; 95% CI [1.03, 2.62], p≤.001) are configured as risk factors for hospital readmission in individuals who have suffered these events. CONCLUSION: It was found that gender, trauma severity, pre-hospital care, postdischarge infection, and rehabilitation treatment variables predict hospital readmission in MVC victims within 1 year after discharge. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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