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BioMed Research International
Volume 2015, Article ID 685067, 7 pages
http://dx.doi.org/10.1155/2015/685067
Research Article

Risk Factors for Emergency Department Short Time Readmission in Stratified Population

1Emergency Department, Álava University Hospital, 01010 Vitoria, Spain
2Biomedical Research Networking Center in Mental Health (CIBERSAM), 10001 Madrid, Spain
3Faculty of Medicine, University of the Basque Country (UPV/EHU), 01010 Vitoria, Spain
4Computational Intelligence Group (GIC), UPV/EHU, 20018 San Sebastián, Spain
5ACPySS, 20018 San Sebastián, Spain
6Management, Álava University Hospital, 01010 Vitoria, Spain
7Department of Psychiatry, Álava University Hospital, 01010 Vitoria, Spain

Received 21 August 2015; Revised 7 October 2015; Accepted 11 October 2015

Academic Editor: Yudong Cai

Copyright © 2015 Ariadna Besga et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. F. Orueta, R. Nuño-Solinis, M. Mateos, I. Vergara, G. Grandes, and S. Esnaola, “Predictive risk modelling in the Spanish population: a cross-sectional study,” BMC Health Services Research, vol. 13, no. 1, article 269, 2013. View at Publisher · View at Google Scholar · View at Scopus
  2. C. R. Carpenter, K. Heard, S. Wilber et al., “Research priorities for high-quality geriatric emergency care: medication management, screening, and prevention and functional assessment,” Academic Emergency Medicine, vol. 18, no. 6, pp. 644–654, 2011. View at Publisher · View at Google Scholar · View at Scopus
  3. B. L. Welch, “The generalization of Student's problem when several different population variances are involved,” Biometrika, vol. 34, pp. 28–35, 1947. View at Google Scholar · View at MathSciNet · View at Scopus
  4. D. Kansagara, H. Englander, A. Salanitro et al., “Risk prediction models for hospital readmission: a systematic review,” The Journal of the American Medical Association, vol. 306, no. 15, pp. 1688–1698, 2011. View at Publisher · View at Google Scholar · View at Scopus
  5. B. K. Ahmedani, L. I. Solberg, L. A. Copeland et al., “Psychiatric comorbidity and 30-day readmissions after hospitalization for heart failure, AMI, and pneumonia,” Psychiatric Services, vol. 66, no. 2, pp. 134–140, 2015. View at Publisher · View at Google Scholar · View at Scopus
  6. S. López-Aguila, J. C. Contel, J. Farré, J. L. Campuzano, and L. Rajmil, “Predictive model for emergency hospital admission and 6-month readmission,” The American Journal of Managed Care, vol. 17, no. 9, pp. e348–e357, 2011. View at Google Scholar · View at Scopus
  7. J. H. Han, E. E. Zimmerman, N. Cutler et al., “Delirium in older emergency department patients: recognition, risk factors, and psychomotor subtypes,” Academic Emergency Medicine, vol. 16, no. 3, pp. 193–200, 2009. View at Publisher · View at Google Scholar · View at Scopus
  8. “New guidelines for geriatric EDs: guidance focused on boosting environment, care processes,” ED Management: The Monthly Update On Emergency Department Management, vol. 26, no. 5, pp. 49–53, 2014.
  9. F. J. Martín-Sánchez and J. J. G. Armengol, “Emergency departments: one more link in the chain in chronic diseases strategies,” Atención Primaria, vol. 46, no. 5, pp. 267–268, 2014. View at Publisher · View at Google Scholar · View at Scopus
  10. J. Ramírez, J. M. Górriz, D. Salas-Gonzalez et al., “Computer-aided diagnosis of Alzheimer's type dementia combining support vector machines and discriminant set of features,” Information Sciences, vol. 237, pp. 59–72, 2013. View at Publisher · View at Google Scholar · View at Scopus
  11. C. Lin, W. Chen, C. Qiu, Y. Wu, S. Krishnan, and Q. Zou, “LibD3C: ensemble classifiers with a clustering and dynamic selection strategy,” Neurocomputing, vol. 123, pp. 424–435, 2014. View at Publisher · View at Google Scholar · View at Scopus
  12. L. Breiman, “Random forests,” Machine Learning, vol. 45, no. 1, pp. 5–32, 2001. View at Publisher · View at Google Scholar · View at Scopus
  13. S. F. Jencks, M. V. Williams, and E. A. Coleman, “Rehospitalizations among patients in the medicare fee-for-service program,” The New England Journal of Medicine, vol. 360, no. 14, pp. 1418–1428, 2009. View at Publisher · View at Google Scholar · View at Scopus
  14. J. N. Morris, E. P. Howard, K. Steel et al., “Predicting risk of hospital and emergency department use for home care elderly persons through a secondary analysis of cross-national data,” BMC Health Services Research, vol. 14, article 519, 2014. View at Publisher · View at Google Scholar
  15. G. M. Garrison, M. P. Mansukhani, and B. Bohn, “Predictors of thirty-day readmission among hospitalized family medicine patients,” Journal of the American Board of Family Medicine, vol. 26, no. 1, pp. 71–77, 2013. View at Publisher · View at Google Scholar · View at Scopus
  16. M. D. Silverstein, H. Qin, S. Q. Mercer, J. Fong, and Z. Haydar, “Risk factors for 30-day hospital readmission in patients ≥65 years of age,” Baylor University Medical Center Proceedings, vol. 21, no. 4, pp. 363–372, 2008. View at Google Scholar
  17. L. Pereira, C. Choquet, A. Perozziello et al., “Unscheduled-return-visits after an emergency department (ED) attendance and clinical link between both visits in patients aged 75 years and over: a prospective observational study,” PLoS ONE, vol. 10, no. 4, Article ID e0123803, 2015. View at Publisher · View at Google Scholar
  18. C. R. Carpenter, E. Shelton, S. Fowler et al., “Risk factors and screening instruments to predict adverse outcomes for undifferentiated older emergency department patients: a systematic review and meta-analysis,” Academic Emergency Medicine, vol. 22, no. 1, pp. 1–21, 2015. View at Publisher · View at Google Scholar · View at Scopus
  19. T. Williams and D. L. Morgan, “Analysis of emergency department predictors for 30-day geriatric hospital readmissions,” Annals of Emergency Medicine, vol. 62, no. 4, article S56, 2013. View at Google Scholar
  20. T. M. Hogan, T. O. Olade, and C. R. Carpenter, “A profile of acute care in an aging America: snowball sample identification and characterization of united states geriatric emergency departments in 2013,” Academic Emergency Medicine, vol. 21, no. 3, pp. 337–346, 2014. View at Publisher · View at Google Scholar · View at Scopus
  21. S. W. Meldon, L. C. Mion, R. M. Palmer et al., “A brief risk-stratification tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department,” Academic Emergency Medicine, vol. 10, no. 3, pp. 224–232, 2003. View at Publisher · View at Google Scholar · View at Scopus
  22. S. T. Wilber, S. D. Lofgren, T. G. Mager, M. Blanda, and L. W. Gerson, “An evaluation of two screening tools for cognitive impairment in older emergency department patients,” Academic Emergency Medicine, vol. 12, no. 7, pp. 612–616, 2005. View at Publisher · View at Google Scholar · View at Scopus
  23. F. M. Hustey and S. W. Meldon, “The prevalence and documentation of impaired mental status in elderly emergency department patients,” Annals of Emergency Medicine, vol. 39, no. 3, pp. 248–253, 2002. View at Publisher · View at Google Scholar · View at Scopus
  24. P. Herrero-Puente, F. J. Martin-Sanchez, M. Fernandez-Fernandez et al., “Differential clinical characteristics and outcome predictors of acute heart failure in elderly patients,” International Journal of Cardiology, vol. 155, no. 1, pp. 81–86, 2012. View at Google Scholar
  25. M. Ozcimen, Y. Sakarya, E. Kurtipek et al., “Peripapillary choroidal thickness in patients with chronic obstructive pulmonary disease,” Cutaneous and Ocular Toxicology, 2015. View at Publisher · View at Google Scholar
  26. S. Iwasaki and T. Yamasoba, “Dizziness and imbalance in the elderly: age-related decline in the vestibular system,” Aging and Disease, vol. 6, no. 1, pp. 38–47, 2015. View at Publisher · View at Google Scholar
  27. P. Raina, M. Wong, and H. Massfeller, “The relationship between sensory impairment and functional independence among elderly,” BMC Geriatrics, vol. 4, article 3, 2004. View at Publisher · View at Google Scholar · View at Scopus
  28. J. Lazarou, B. H. Pomeranz, and P. N. Corey, “Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies,” Journal of the American Medical Association, vol. 279, no. 15, pp. 1200–1205, 1998. View at Publisher · View at Google Scholar · View at Scopus
  29. N. Allaudeen, A. Vidyarthi, J. Maselli, and A. Auerbach, “Redefining readmission risk factors for general medicine patients,” Journal of Hospital Medicine, vol. 6, no. 2, pp. 54–60, 2011. View at Publisher · View at Google Scholar · View at Scopus
  30. S. E. Delgado, E. B. Montero, G. M. Munoz et al., “Improving drug prescribing in the elderly: a new edition of STOPP/START criteria,” Revista Española de Geriatría y Gerontología, vol. 50, no. 2, pp. 89–96, 2015. View at Publisher · View at Google Scholar
  31. S. E. Delgado, E. B. Montero, G. M. Munoz et al., “Improving drug prescribing in the elderly: a new edition of STOPP/START criteria,” Revista Española de Geriatría y Gerontología, vol. 50, no. 2, pp. 89–96, 2015. View at Publisher · View at Google Scholar
  32. G. J. McMillan and R. E. Hubbard, “Frailty in older inpatients: what physicians need to know,” QJM, vol. 105, no. 11, Article ID hcs125, pp. 1059–1065, 2012. View at Publisher · View at Google Scholar · View at Scopus
  33. M. Deschodt, E. Devriendt, M. Sabbe et al., “Characteristics of older adults admitted to the emergency department (ED) and their risk factors for ED readmission based on comprehensive geriatric assessment: a prospective cohort study,” BMC Geriatrics, vol. 15, no. 1, article 54, 2015. View at Publisher · View at Google Scholar
  34. K. Singler, M. Christ, C. Sieber, M. Gosch, and H. J. Heppner, “Geriatric patients in emergency and intensive care medicine,” Internist, vol. 52, no. 8, pp. 934–938, 2011. View at Publisher · View at Google Scholar · View at Scopus
  35. O. T. Rutschmann, T. Chevalley, C. Zumwald, C. Luthy, B. Vermeulen, and F. P. Sarasin, “Pitfalls in the emergency department triage of frail elderly patients without specific complaints,” Swiss Medical Weekly, vol. 135, no. 9-10, pp. 145–150, 2005. View at Google Scholar · View at Scopus
  36. C. R. Carpenter, M. Bromley, J. M. Caterino et al., “Optimal older adult emergency care: introducing multidisciplinary geriatric emergency department guidelines from the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine,” Journal of the American Geriatrics Society, vol. 62, no. 7, pp. 1360–1363, 2014. View at Publisher · View at Google Scholar · View at Scopus
  37. C. H. K. Yam, E. L. Y. Wong, F. W. K. Chan, F. Y. Y. Wong, M. C. M. Leung, and E. K. Yeoh, “Measuring and preventing potentially avoidable hospital readmissions: a review of the literature,” Hong Kong Medical Journal, vol. 16, no. 5, pp. 383–389, 2010. View at Google Scholar · View at Scopus