@article {Glynn114, author = {Nigel Glynn and Kathleen Bennett and Bernard Silke}, title = {Emergency medical readmission: long-term trends and impact on mortality}, volume = {11}, number = {2}, pages = {114--118}, year = {2011}, doi = {10.7861/clinmedicine.11-2-114}, publisher = {Royal College of Physicians}, abstract = {There is increasing emphasis on prevention of emergency medical readmissions. The broad pattern of acute medical readmissions was studied over a seven-year period and the impact of any readmission on 30-day mortality was recorded. Significant predictors of outcome, including co-morbidity and illness severity score, were entered into a multivariate regression model, adjusting the univariate estimates of the readmission status on mortality. In total, 23,114 consecutive acute medical patients were admitted between 2002{\textendash}8; the overall readmission rate was 27\%. Readmission independently predicted an increased 30-day mortality; the odds ratio, was 1.12 (95\% confidence interval (CI) 1.09 to 1.14). This fell to 1.05 (95\% CI 1.02 to 1.08) when adjusted for outcome predictors including acute illness severity. The trend for readmissions was to progressively increase over time; the median times between consecutive admissions formed an exponential time series. Efforts to reduce or avoid readmissions may depend on an ability to modify the underlying chronic disease.}, issn = {1470-2118}, URL = {https://www.rcpjournals.org/content/11/2/114}, eprint = {https://www.rcpjournals.org/content/11/2/114.full.pdf}, journal = {Clinical Medicine} }