Early readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)

Detalhes bibliográficos
Autor(a) principal: Lopes, Antonio Alberto da Silva
Data de Publicação: 2004
Outros Autores: Leavey, Sean F., McCullough, Keith, Gillespie, Brenda, Bommer, Juergen, Canaud, Bernard J., Saito, Akira, Fukuhara, Shunichi, Held, Philip J., Port, Friedrich K., Young, Eric W.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/17846
Resumo: Texto completo: acesso restrito. p. 287–294
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spelling Lopes, Antonio Alberto da SilvaLeavey, Sean F.McCullough, KeithGillespie, BrendaBommer, JuergenCanaud, Bernard J.Saito, AkiraFukuhara, ShunichiHeld, Philip J.Port, Friedrich K.Young, Eric W.2015-06-02T14:17:05Z20041492-7535http://repositorio.ufba.br/ri/handle/ri/17846v. 8, n. 3Texto completo: acesso restrito. p. 287–294Background:  Rising hospital care costs have created pressure to shorten hospital stays and emphasize outpatient care. This study tests the hypothesis that shorter median length of stay (LOS) as a dialysis facility practice is associated with higher rates of early readmission. Methods:  Readmission within 30 days of each hospitalization was evaluated for participants in the Dialysis Outcomes and Practice Patterns Study, an observational study of randomly selected hemodialysis patients in the United States (142 facilities, 5095 patients with hospitalizations), five European countries (101 facilities, 2281 patients with hospitalizations), and Japan (58 facilities, 883 patients with hospitalizations). Associations between median facility LOS (estimated from all hospitalizations at the facility and interpreted as a dialysis facility practice pattern) and odds of readmission were assessed using logistic regression, adjusted for patient characteristics and the LOS of each index hospitalization. Results:  Risk of readmission was directly and significantly associated with LOS of the index hospitalization (adjusted odds ratio [AOR] 1.005 per day in median facility LOS, p = 0.007) and inversely associated with median facility LOS (AOR = 0.974 per day, p = 0.016). This latter association was strongest for US hemodialysis centers (AOR = 0.954 per day, p = 0.015). Conclusions:  Dialysis facilities with shorter median hospital LOS for their patients have higher odds of readmission, particularly in the United States, where there is greater pressure to shorten LOS. The determinants and consequences of practices related to hospital LOS for hemodialysis patients should be further studied.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-12-13T10:26:08Z No. of bitstreams: 1 Antonio Alberto Lopes.pdf: 307829 bytes, checksum: 753ef6ec616917a881350770463c4f18 (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2015-06-02T14:17:05Z (GMT) No. of bitstreams: 1 Antonio Alberto Lopes.pdf: 307829 bytes, checksum: 753ef6ec616917a881350770463c4f18 (MD5)Made available in DSpace on 2015-06-02T14:17:05Z (GMT). No. of bitstreams: 1 Antonio Alberto Lopes.pdf: 307829 bytes, checksum: 753ef6ec616917a881350770463c4f18 (MD5) Previous issue date: 2004http://dx.doi.org/ 10.1111/j.1492-7535.2004.01107.xreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAEnd-stage renal diseaseReadmissionKidney Failure, ChronicEarly readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)Hemodialysis Internationalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINALAntonio Alberto Lopes.pdfAntonio Alberto Lopes.pdfapplication/pdf307829https://repositorio.ufba.br/bitstream/ri/17846/1/Antonio%20Alberto%20Lopes.pdf753ef6ec616917a881350770463c4f18MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/17846/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTAntonio Alberto Lopes.pdf.txtAntonio Alberto Lopes.pdf.txtExtracted texttext/plain31783https://repositorio.ufba.br/bitstream/ri/17846/3/Antonio%20Alberto%20Lopes.pdf.txtbcce2b92fe86cf761bcd01cfd3d32221MD53ri/178462022-07-01 10:46:54.337oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-01T13:46:54Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Early readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)
dc.title.alternative.pt_BR.fl_str_mv Hemodialysis International
title Early readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)
spellingShingle Early readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)
Lopes, Antonio Alberto da Silva
End-stage renal disease
Readmission
Kidney Failure, Chronic
title_short Early readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)
title_full Early readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)
title_fullStr Early readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)
title_full_unstemmed Early readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)
title_sort Early readmission and length of hospitalization practices in the Dialysis Outcomes and Practice Patterns Study (DOPPS)
author Lopes, Antonio Alberto da Silva
author_facet Lopes, Antonio Alberto da Silva
Leavey, Sean F.
McCullough, Keith
Gillespie, Brenda
Bommer, Juergen
Canaud, Bernard J.
Saito, Akira
Fukuhara, Shunichi
Held, Philip J.
Port, Friedrich K.
Young, Eric W.
author_role author
author2 Leavey, Sean F.
McCullough, Keith
Gillespie, Brenda
Bommer, Juergen
Canaud, Bernard J.
Saito, Akira
Fukuhara, Shunichi
Held, Philip J.
Port, Friedrich K.
Young, Eric W.
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Lopes, Antonio Alberto da Silva
Leavey, Sean F.
McCullough, Keith
Gillespie, Brenda
Bommer, Juergen
Canaud, Bernard J.
Saito, Akira
Fukuhara, Shunichi
Held, Philip J.
Port, Friedrich K.
Young, Eric W.
dc.subject.por.fl_str_mv End-stage renal disease
Readmission
Kidney Failure, Chronic
topic End-stage renal disease
Readmission
Kidney Failure, Chronic
description Texto completo: acesso restrito. p. 287–294
publishDate 2004
dc.date.issued.fl_str_mv 2004
dc.date.accessioned.fl_str_mv 2015-06-02T14:17:05Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/17846
dc.identifier.issn.none.fl_str_mv 1492-7535
dc.identifier.number.pt_BR.fl_str_mv v. 8, n. 3
identifier_str_mv 1492-7535
v. 8, n. 3
url http://repositorio.ufba.br/ri/handle/ri/17846
dc.language.iso.fl_str_mv eng
language eng
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