Reasons and risk factors for readmission following hospitalization for community onset pneumonia in South Korea
의약학 > 내과학
안준홍 , 이관호 , 정진홍 , 신경철 , 진현정 , 최은영
대한결핵 및 호흡기학회
대한결핵및호흡기학회 추계학술발표초록집 2018년, 제126권 294(총1페이지)
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    Objectives: Limited studies have been performed to assess readmission following hospitalization for community-onset pneumonia in an Asian population. We evaluated the rates, reasons, and risk factors for 30 day readmission following hospitalization for community-onset pneumonia (COP) in the general adult population of Korea.
    Methods: We performed a retrospective observational study of 1,021 patients with COP. The primary end point was all-cause hospital readmission within 30 days following discharge after the initial hospitalization. Hospital readmission was classified as (1) pneumonia-related or (2) pneumonia-unrelated readmission.
    Results: During the study period, 1,021 patients were eligible for inclusion. Of the 862 patients who survived to hospital discharge, 72 (8.4%) were rehospitalized within 30 days. In the multivariable analysis, pneumonia related readmission was associated with para/hemiplegia, malignancy, pneumonia severity index (PSI) class ≥ 4 and clinical instability ≥ 1 at hospital discharge. Chronic lung disease, chronic kidney disease, treatment failure, and decompensation of comorbidities were associated with the pneumonia-unrelated 30-day readmission rate.
    Conclusions: Rehospitalizations within 30 days following discharge were frequent among patients with COP. The risk factors for pneumonia-related and -unrelated readmission were different. Aspiration prevention, discharge at the optimal time, and close monitoring of comorbidities may reduce the frequency of readmission among patients with COP.
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