Association of US Dialysis Facility Staffing with Profiling of Hospital-Wide 30-Day Unplanned Readmission.

ABSTRACT:

Background

Unplanned hospital readmissions are a major source of morbidity among dialysis patients, in whom the risk of hospital readmission is exceptionally high. The contribution of dialysis facility staffing to hospital readmission has been largely overlooked.

Methods

Using annual data of dialysis patients from the United States Renal Data System from 2010 to 2013, we assessed dialysis facilities with a significantly worse (SW) and facilities with a nonsignificant (NS) standardized readmission ratio (SRR). SRR estimates were risk adjusted for patient factors, past year comorbidities, and index hospitalization characteristics. Facility staffing variables were compared between 2 exposure groups: facilities with SW and NS SRRs. Four measures of staffing, including patient-to

SUBMITTER: Chen Y 

PROVIDER: S-EPMC6587206 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature