Abstract
Objective: to evaluate the early readmission of patients in a high complexity public hospital in cardiology. Methods: this is a descriptive, documental and retrospective study, carried out in a public hospital. Results: in 2012, 729 of the 9,218 hospitalized patients were readmitted, 47.9% of them were readmitted within 30 days after discharge, 61% were men, with a mean age of 57 years old, with the main medical diagnosis of heart disease (heart failure, treatment of acute coronary syndrome, among others) on admission (44.7%) and readmission (45.8%). Most were readmitted for the same medical reason that led to their first hospitalization. Conclusion: considering the profile of the population admitted and readmitted to the institution, it is believed that the rate of readmission is mainly due to the profile of the patients, considering the high prevalence of non-communicable chronic diseases, and coronary artery disease considered unapproachable for percutaneous or surgical when hospitalized.
Highlights
Hospital readmission is considered an indicator of the quality of health care
This study aimed to evaluate the early readmission of patients in a high complexity public hospital in cardiology
Data collection was performed at a public hospital institution of the State Health Department of São Paulo, Brazil, a reference in cardiology care in the State
Summary
Hospital readmission is considered an indicator of the quality of health care. In addition to discomfort to the patient, insecurity and possible complication of treatment lead to expenses to the health system, necessary to evaluate the profile of patients readmitted early.Studies have used different intervals since discharge to define readmission, such as rehospitalization in 72 hours, more than 72 hours, one week, one month and up to one year after discharge[1,2,3,4,5,6]. Hospital readmission is considered an indicator of the quality of health care. In addition to discomfort to the patient, insecurity and possible complication of treatment lead to expenses to the health system, necessary to evaluate the profile of patients readmitted early. This study considered early analysis within the first 30 days of patient readmission. Hospital readmissions can be classified as planned and eventual, those necessary to the continuity of the treatment or diagnostic evaluation. Some readmissions are considered potentially avoidable because they associate the indicators with poor care during hospitalization, the low resolution of the initial problem, inadequate postdischarge care, and unstable therapy at discharge. It is hypothesized that the lower the interval, the greater the possibility of readmission being due to a potentially preventable complication[7,8,5]
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