SHM Converge Scientific Abstract ePoster Gallery-Readmission Risk After Covid-19 Hospitalization: A Moderation Analysis by Vital Signs

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This study examined 2,557 COVID-19 hospital admissions among 2,230 adults in a Rhode Island health system from April to December 2020 to identify factors linked to 30-day readmission after discharge. Researchers reviewed demographics, comorbidities, hospital course, treatments, and vital signs within 24 hours of discharge, and used moderation analysis to see whether discharge vital signs changed the effect of other risk factors.<br /><br />The sample included many older adults, with nearly half over age 65, and about one-third identifying as Hispanic. Readmission risk was higher in patients with pulmonary disease and certain other clinical risk factors, while cardiovascular disease was also associated with readmission patterns in the analysis. Most importantly, having normal vital signs within 24 hours of discharge was associated with a lower chance of being readmitted within 30 days.<br /><br />The moderation analysis suggested that normal vital signs at discharge were especially protective for patients with higher-risk conditions, including pulmonary disease and psychiatric/substance use disorders. The authors concluded that stable, normalized vital signs before discharge may be particularly important for patients with behavioral health conditions, immunocompromised status, or pulmonary disease.<br /><br />Overall, the study suggests that discharge readiness should not rely on timing alone; clinicians may reduce readmissions by ensuring vital signs have normalized before sending higher-risk COVID-19 patients home.

Asset Subtitle

Arkadiy Finn

Meta Tag

Author List Arkadiy Finn, Atin Jindal, Joshua Tanzer, Kwame Dapaah-Afriyie, Vijairam Selvaraj

Category Research

Concept 30-day Hospital Readmission

Concept COVID-19 Hospitalization

Concept Comorbid Illness

Concept Discharge Vital Sign

Concept Readmission Risk

Distinguished Non-Finalist

Presenter Organization The Miriam Hospital, Warren Alpert Medical School at Brown University

Presenting Author Arkadiy Finn

Track Transitions of Care

Keywords

COVID-19

hospital readmission

discharge vital signs

30-day readmission

pulmonary disease

cardiovascular disease

psychiatric disorders

substance use disorders

hospital admissions

discharge readiness

30-day Hospital Readmission

COVID-19 Hospitalization

Comorbid Illness

Discharge Vital Sign

Readmission Risk