Using Medicare beneficiary data gathered from 1993 through 2006, researchers determined that the standardized use of acute-care interventions such as betablockers had likely played a role in shortening average lengths of stay 28%, from 8.81 days in 1993 to 6.33 days in 2006. There was also a 49% relative reduction in the in-hospital mortality rate, which dropped from 8.5% in 1993 to 4.3% in 2006.
By contrast, the 30-day hospital readmission rate increased 16.9%, from 17.2% to 20.1%. Additionally, the percentage of patients discharged to skilled-nursing facilities jumped by more than half, from 13% in 1993 to 19.9% in 2006.
“The most striking finding is that the period was associated with an increase in 30-day readmission rate,” the authors wrote. “Although we cannot demonstrate that the shortened hospital stay caused these changes, it is certainly plausible that the effort to discharge patients quickly has led to transfers to non-acute institutional settings and occasionally sent patients out of the hospital before they were fully treated.” — Maureen McKinney
Related articles by Zemanta
- Shorter Hospital Stays May Hinder Heart Failure Patients (nlm.nih.gov)
- The Revolving Hospital Door (online.wsj.com)
- Addressing Hospital Readmission Rates (georgevanantwerp.com)
- Study: Hospital Follow Up Can Curb Readmission Rate For Heart Patients (medicalnewstoday.com)