TY - JOUR T1 - Frequent identical admission–readmission episodes are associated with increased mortality JF - Clinical Medicine JO - Clin Med SP - e351 LP - e356 DO - 10.7861/clinmed.2020-0930 VL - 21 IS - 4 AU - Christopher H Fry AU - David Fluck AU - Thang S Han Y1 - 2021/07/01 UR - http://www.rcpjournals.org/content/21/4/e351.abstract N2 - Frequent emergency readmissions may associate with health consequences. We examined the association between readmissions within 28 days of hospital discharge and mortality in 32,270 alive-discharge episodes (18–107 years). Data collected between 1 April 2017 and 31 March 2019 are presented as age- and sex-adjusted hazard ratios (HR) with 95% confidence interval (CI).Compared with no readmission, mortality risk over a 2-year period was increased with one non-identical admission–readmission (AR) episode: HR = 2.4 (2.2–2.7), two or more non-identical AR episodes: HR = 3.0 (2.7–3.4), one identical AR episode: HR = 4.7 (3.6–6.1) and two or more identical AR episodes: HR = 5.0 (3.8–6.7). Eight conditions associated with AR episodes had increased risk of mortality including congestive heart failure: HR = 2.7 (2.2–3.2), chronic pulmonary obstructive disease: HR = 3.0 (2.5–3.6), pneumonia: HR = 2.0 (1.8–2.3), sepsis: HR = 2.2 (1.9–2.5), endocrine disorders: HR = 1.9 (1.6–2.3), urinary tract infection: HR = 1.5 (1.3–1.7), psychiatric disorders: HR = 1.5 (1.1–2.1) and haematological disorders: HR = 1.5 (1.2–1.9). Frequent identical AR episodes, particularly from chronic and age-related conditions, are associated with increased mortality. ER -