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Readmission patterns in patients with chronic obstructive pulmonary disease, chronic heart failure and diabetes mellitus: an administrative dataset analysis

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Comprehensive disease management programmes for chronic disease aim to improve patient outcomes and reduce health-care utilization. Readmission rates are often used as an outcome measure of effectiveness. This study aimed to document readmission rates, and risk for early and late readmission, for patients discharged from the Royal Melbourne Hospital with a disease diagnosis of chronic heart failure (CHF), chronic obstructive pulmonary disease (COPD) or diabetes mellitus compared to those with other general medical conditions. Eighty five (8.6%) of patients were readmitted within 28 days and 183 (20.8%) were readmitted between 29 and 180 days. No risk factors for early readmission were identified. Patients with a primary disease diagnosis of CHF and COPD are at increased risk of late readmissions (29–180 days). (Intern Med J 2005; 35: 296–299)
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Keywords: chronic obstructive pulmonary disease; chronic disease management; chronic heart failure; diabetes mellitus; readmissions

Document Type: Research Article

Affiliations: 1: Clinical Epidemiology and Health Services Evaluation Unit, Royal Melbourne Hospital 2: Victorian Department of Human Services 3: Monash Institute of Health Services Research, Monash Medical Centre, Melbourne, Victoria, Australia

Publication date: May 1, 2005

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