Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes.

ABSTRACT:

Background

Vital sign instability on discharge could be a clinically objective means of assessing readiness and safety for discharge; however, the association between vital sign instability on discharge and post-hospital outcomes is unclear.

Objective

To assess the association between vital sign instability at hospital discharge and post-discharge adverse outcomes.

Design

Multi-center observational cohort study using electronic health record data. Abnormalities in temperature, heart rate, blood pressure, respiratory rate, and oxygen saturation were assessed within 24 hours of discharge. We used logistic regression adjusted for predictors of 30-day death and readmission.

Participants

Adults (≥18 years) with a hospitalization to any medicine service in 2009-2010

SUBMITTER: Nguyen OK 

PROVIDER: S-EPMC5215152 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature