Early Hospital Readmission (EHR) in kidney transplantation: a review article
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Nefrologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000200231 |
Resumo: | Abstract Early hospital readmission (EHR), defined as all readmissions within 30 days of initial hospital discharge, is a health care quality measure. It is influenced by the demographic characteristics of the population at risk, the multidisciplinary approach for hospital discharge, the access, coverage, and comprehensiveness of the health care system, and reimbursement policies. EHR is associated with higher morbidity, mortality, and increased health care costs. Monitoring EHR enables the identification of hospital and outpatient healthcare weaknesses and the implementation of corrective interventions. Among kidney transplant recipients in the USA, EHR ranges between 18 and 47%, and is associated with one-year increased mortality and graft loss. One study in Brazil showed an incidence of 19.8% of EHR. The main causes of readmission were infections and surgical and metabolic complications. Strategies to reduce early hospital readmission are therefore essential and should consider the local factors, including socio-economic conditions, epidemiology and endemic diseases, and mobility. |
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Early Hospital Readmission (EHR) in kidney transplantation: a review articlePatient ReadmissionKidney TransplantationQuality Indicators, Health CareDelivery of healthcareMortalityAbstract Early hospital readmission (EHR), defined as all readmissions within 30 days of initial hospital discharge, is a health care quality measure. It is influenced by the demographic characteristics of the population at risk, the multidisciplinary approach for hospital discharge, the access, coverage, and comprehensiveness of the health care system, and reimbursement policies. EHR is associated with higher morbidity, mortality, and increased health care costs. Monitoring EHR enables the identification of hospital and outpatient healthcare weaknesses and the implementation of corrective interventions. Among kidney transplant recipients in the USA, EHR ranges between 18 and 47%, and is associated with one-year increased mortality and graft loss. One study in Brazil showed an incidence of 19.8% of EHR. The main causes of readmission were infections and surgical and metabolic complications. Strategies to reduce early hospital readmission are therefore essential and should consider the local factors, including socio-economic conditions, epidemiology and endemic diseases, and mobility.Sociedade Brasileira de Nefrologia2020-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000200231Brazilian Journal of Nephrology v.42 n.2 2020reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-2019-0089info:eu-repo/semantics/openAccessTavares,Melissa GasparTedesco-Silva Junior,HelioPestana,Jose Osmar Medinaeng2020-07-09T00:00:00Zoai:scielo:S0101-28002020000200231Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2020-07-09T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false |
dc.title.none.fl_str_mv |
Early Hospital Readmission (EHR) in kidney transplantation: a review article |
title |
Early Hospital Readmission (EHR) in kidney transplantation: a review article |
spellingShingle |
Early Hospital Readmission (EHR) in kidney transplantation: a review article Tavares,Melissa Gaspar Patient Readmission Kidney Transplantation Quality Indicators, Health Care Delivery of healthcare Mortality |
title_short |
Early Hospital Readmission (EHR) in kidney transplantation: a review article |
title_full |
Early Hospital Readmission (EHR) in kidney transplantation: a review article |
title_fullStr |
Early Hospital Readmission (EHR) in kidney transplantation: a review article |
title_full_unstemmed |
Early Hospital Readmission (EHR) in kidney transplantation: a review article |
title_sort |
Early Hospital Readmission (EHR) in kidney transplantation: a review article |
author |
Tavares,Melissa Gaspar |
author_facet |
Tavares,Melissa Gaspar Tedesco-Silva Junior,Helio Pestana,Jose Osmar Medina |
author_role |
author |
author2 |
Tedesco-Silva Junior,Helio Pestana,Jose Osmar Medina |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Tavares,Melissa Gaspar Tedesco-Silva Junior,Helio Pestana,Jose Osmar Medina |
dc.subject.por.fl_str_mv |
Patient Readmission Kidney Transplantation Quality Indicators, Health Care Delivery of healthcare Mortality |
topic |
Patient Readmission Kidney Transplantation Quality Indicators, Health Care Delivery of healthcare Mortality |
description |
Abstract Early hospital readmission (EHR), defined as all readmissions within 30 days of initial hospital discharge, is a health care quality measure. It is influenced by the demographic characteristics of the population at risk, the multidisciplinary approach for hospital discharge, the access, coverage, and comprehensiveness of the health care system, and reimbursement policies. EHR is associated with higher morbidity, mortality, and increased health care costs. Monitoring EHR enables the identification of hospital and outpatient healthcare weaknesses and the implementation of corrective interventions. Among kidney transplant recipients in the USA, EHR ranges between 18 and 47%, and is associated with one-year increased mortality and graft loss. One study in Brazil showed an incidence of 19.8% of EHR. The main causes of readmission were infections and surgical and metabolic complications. Strategies to reduce early hospital readmission are therefore essential and should consider the local factors, including socio-economic conditions, epidemiology and endemic diseases, and mobility. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000200231 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002020000200231 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2175-8239-jbn-2019-0089 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
dc.source.none.fl_str_mv |
Brazilian Journal of Nephrology v.42 n.2 2020 reponame:Jornal Brasileiro de Nefrologia instname:Sociedade Brasileira de Nefrologia (SBN) instacron:SBN |
instname_str |
Sociedade Brasileira de Nefrologia (SBN) |
instacron_str |
SBN |
institution |
SBN |
reponame_str |
Jornal Brasileiro de Nefrologia |
collection |
Jornal Brasileiro de Nefrologia |
repository.name.fl_str_mv |
Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN) |
repository.mail.fl_str_mv |
||jbn@sbn.org.br |
_version_ |
1752122066122833920 |