Thirty-day hospital readmission rate among adults living with HIV

Stephen A. Berry, John A. Fleishman, Baligh R. Yehia, Philip (Todd) Korthuis, Allison L. Agwu, Richard D. Moore, Kelly A. Gebo

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective: Thirty-day hospital readmission rate is receiving increasing attention as a quality-of-care indicator. The objective of this study was to determine readmission rates and to identify factors associated with readmission among persons living with HIV. Design: Prospective multicenter observational cohort. Setting: Nine US HIV clinics affiliated through the HIV Research Network. Participants: Patients engaged in HIV care during 2005-2010. Main outcome measure(s): Readmission rate was defined as the proportion of hospitalizations followed by a readmission within 30 days. Factors in multivariate analyses included diagnostic categories, patient demographic and clinical characteristics, and having an outpatient follow-up visit. Results: Among 11 651 total index hospitalizations, the 30-day readmission rate was 19.3%. AIDS-defining illnesses (ADIs, 9.6% of index hospitalizations) and non-AIDSdefining infections (26.4% of index hospitalizations) had readmission rates of 26.2 and 16.6%, respectively. Factors independently associated with readmission included lower CD4+ cell count [adjusted odds ratio 1.80 (1.53-2.11) for CD4+ cell count

Original languageEnglish (US)
Pages (from-to)2059-2068
Number of pages10
JournalAIDS
Volume27
Issue number13
DOIs
StatePublished - Aug 24 2013

Fingerprint

Patient Readmission
Hospitalization
HIV
CD4 Lymphocyte Count
Quality of Health Care
Acquired Immunodeficiency Syndrome
Outpatients
Multivariate Analysis
Odds Ratio
Demography
Outcome Assessment (Health Care)
Infection
Research

Keywords

  • AIDS-defining illness
  • Healthcare utilization
  • HIV
  • Outpatient hospital follow-up
  • Readmission

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Infectious Diseases

Cite this

Berry, S. A., Fleishman, J. A., Yehia, B. R., Korthuis, P. T., Agwu, A. L., Moore, R. D., & Gebo, K. A. (2013). Thirty-day hospital readmission rate among adults living with HIV. AIDS, 27(13), 2059-2068. https://doi.org/10.1097/QAD.0b013e3283623d5f

Thirty-day hospital readmission rate among adults living with HIV. / Berry, Stephen A.; Fleishman, John A.; Yehia, Baligh R.; Korthuis, Philip (Todd); Agwu, Allison L.; Moore, Richard D.; Gebo, Kelly A.

In: AIDS, Vol. 27, No. 13, 24.08.2013, p. 2059-2068.

Research output: Contribution to journalArticle

Berry, SA, Fleishman, JA, Yehia, BR, Korthuis, PT, Agwu, AL, Moore, RD & Gebo, KA 2013, 'Thirty-day hospital readmission rate among adults living with HIV', AIDS, vol. 27, no. 13, pp. 2059-2068. https://doi.org/10.1097/QAD.0b013e3283623d5f
Berry SA, Fleishman JA, Yehia BR, Korthuis PT, Agwu AL, Moore RD et al. Thirty-day hospital readmission rate among adults living with HIV. AIDS. 2013 Aug 24;27(13):2059-2068. https://doi.org/10.1097/QAD.0b013e3283623d5f
Berry, Stephen A. ; Fleishman, John A. ; Yehia, Baligh R. ; Korthuis, Philip (Todd) ; Agwu, Allison L. ; Moore, Richard D. ; Gebo, Kelly A. / Thirty-day hospital readmission rate among adults living with HIV. In: AIDS. 2013 ; Vol. 27, No. 13. pp. 2059-2068.
@article{89bca2cd6d814cdfbb3c113d24808a35,
title = "Thirty-day hospital readmission rate among adults living with HIV",
abstract = "Objective: Thirty-day hospital readmission rate is receiving increasing attention as a quality-of-care indicator. The objective of this study was to determine readmission rates and to identify factors associated with readmission among persons living with HIV. Design: Prospective multicenter observational cohort. Setting: Nine US HIV clinics affiliated through the HIV Research Network. Participants: Patients engaged in HIV care during 2005-2010. Main outcome measure(s): Readmission rate was defined as the proportion of hospitalizations followed by a readmission within 30 days. Factors in multivariate analyses included diagnostic categories, patient demographic and clinical characteristics, and having an outpatient follow-up visit. Results: Among 11 651 total index hospitalizations, the 30-day readmission rate was 19.3{\%}. AIDS-defining illnesses (ADIs, 9.6{\%} of index hospitalizations) and non-AIDSdefining infections (26.4{\%} of index hospitalizations) had readmission rates of 26.2 and 16.6{\%}, respectively. Factors independently associated with readmission included lower CD4+ cell count [adjusted odds ratio 1.80 (1.53-2.11) for CD4+ cell count",
keywords = "AIDS-defining illness, Healthcare utilization, HIV, Outpatient hospital follow-up, Readmission",
author = "Berry, {Stephen A.} and Fleishman, {John A.} and Yehia, {Baligh R.} and Korthuis, {Philip (Todd)} and Agwu, {Allison L.} and Moore, {Richard D.} and Gebo, {Kelly A.}",
year = "2013",
month = "8",
day = "24",
doi = "10.1097/QAD.0b013e3283623d5f",
language = "English (US)",
volume = "27",
pages = "2059--2068",
journal = "AIDS",
issn = "0269-9370",
publisher = "Lippincott Williams and Wilkins",
number = "13",

}

TY - JOUR

T1 - Thirty-day hospital readmission rate among adults living with HIV

AU - Berry, Stephen A.

AU - Fleishman, John A.

AU - Yehia, Baligh R.

AU - Korthuis, Philip (Todd)

AU - Agwu, Allison L.

AU - Moore, Richard D.

AU - Gebo, Kelly A.

PY - 2013/8/24

Y1 - 2013/8/24

N2 - Objective: Thirty-day hospital readmission rate is receiving increasing attention as a quality-of-care indicator. The objective of this study was to determine readmission rates and to identify factors associated with readmission among persons living with HIV. Design: Prospective multicenter observational cohort. Setting: Nine US HIV clinics affiliated through the HIV Research Network. Participants: Patients engaged in HIV care during 2005-2010. Main outcome measure(s): Readmission rate was defined as the proportion of hospitalizations followed by a readmission within 30 days. Factors in multivariate analyses included diagnostic categories, patient demographic and clinical characteristics, and having an outpatient follow-up visit. Results: Among 11 651 total index hospitalizations, the 30-day readmission rate was 19.3%. AIDS-defining illnesses (ADIs, 9.6% of index hospitalizations) and non-AIDSdefining infections (26.4% of index hospitalizations) had readmission rates of 26.2 and 16.6%, respectively. Factors independently associated with readmission included lower CD4+ cell count [adjusted odds ratio 1.80 (1.53-2.11) for CD4+ cell count

AB - Objective: Thirty-day hospital readmission rate is receiving increasing attention as a quality-of-care indicator. The objective of this study was to determine readmission rates and to identify factors associated with readmission among persons living with HIV. Design: Prospective multicenter observational cohort. Setting: Nine US HIV clinics affiliated through the HIV Research Network. Participants: Patients engaged in HIV care during 2005-2010. Main outcome measure(s): Readmission rate was defined as the proportion of hospitalizations followed by a readmission within 30 days. Factors in multivariate analyses included diagnostic categories, patient demographic and clinical characteristics, and having an outpatient follow-up visit. Results: Among 11 651 total index hospitalizations, the 30-day readmission rate was 19.3%. AIDS-defining illnesses (ADIs, 9.6% of index hospitalizations) and non-AIDSdefining infections (26.4% of index hospitalizations) had readmission rates of 26.2 and 16.6%, respectively. Factors independently associated with readmission included lower CD4+ cell count [adjusted odds ratio 1.80 (1.53-2.11) for CD4+ cell count

KW - AIDS-defining illness

KW - Healthcare utilization

KW - HIV

KW - Outpatient hospital follow-up

KW - Readmission

UR - http://www.scopus.com/inward/record.url?scp=84884500689&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884500689&partnerID=8YFLogxK

U2 - 10.1097/QAD.0b013e3283623d5f

DO - 10.1097/QAD.0b013e3283623d5f

M3 - Article

VL - 27

SP - 2059

EP - 2068

JO - AIDS

JF - AIDS

SN - 0269-9370

IS - 13

ER -