Final Year Acute Care Medicine Trainee currently practicing at St Vincent's Hospital, Melbourne, Australia.
Re-Admissions To A General Medicine Unit Across The Season
Unplanned hospital readmissions place a large burden on the health system, and reducing these readmissions could improve outcomes, and reduce inefficiencies and cost. We reviewed 28-day re-admission rates to a General Medicine unit in a large regional centre in Victoria, Australia across seasons to determine whether the speciality training of the senior medical staff influenced re-admissions to our hospital.
Retrospective study reviewing the medical records of all patients meeting inclusion criteria who were re-admitted to the General Medicine unit within a 28-day period from their initial discharge. Two time periods were investigated; summer (January 2019 and December 2019), and winter (June and July 2019).
A total of 190 re-admissions were analysed in this study, of which 163 (85.8%) were thought to be directly or potentially related to the index admission. The overall re-admission rate was 8.8%, with a higher proportion of patients re-admitted in summer (9.9%) compared to winter (7.7%). Length of stay (LOS, in days) was longer in winter (5.9) compared to summer (5.4). The study sample was insufficient to assess whether the sub-specialty training of the treating clinician played a role in re-admission rates.
There was a higher number of 28 day re-admissions in summer compared to winter, but the LOS was longer in winter. There was insufficient data to address whether consultant subspecialty had an impact on admission rates.