Lian Leng Low|Wilson Tay|Mor Jack Ng|Shaohua Tan|N Liu|Lee Kh
Frequent hospital admissions in Singapore: clinical risk factors and impact of socioeconomic status
Singapore General Hospital|Duke-NUS Medical School|Singapore General Hospital|Duke-NUS Medical School|Duke-NUS Medical School|Singapore General Hospital|Singapore General Hospital|Duke-NUS Medical School|Singapore General Hospital|Duke-NUS Medical School|Duke-NUS Medical School|Singapore General Hospital
frequent admitters hospitals highcost patients strain finite healthcare resources however exact risk factors frequent admissions used guide risk stratification design effective interventions locally remain unknown study aimed identify clinical sociodemographic risk factors associated frequent hospital admissions singaporean observational study conducted using retrospective 2014 data administrative database singapore general hospital singapore variables identified priori included patient demographics comorbidities prior healthcare utilisation clinical laboratory variables index admission multivariate logistic regression analysis used identify independent risk factors frequent admissionsa total 16306 unique patients analysed 1640 101 patients classified frequent admitters multivariate logistic regression 16 variables independently associated frequent hospital admissions including age cerebrovascular disease history malignancy haemoglobin serum creatinine serum albumin number specialist outpatient clinic visits emergency department visits admissions preceding index admission medications dispensed discharge patients staying public rental housing 30 higher risk frequent admitter adjusting demographics clinical conditionsour study first knowledge examine clinical risk factors frequent admissions singapore validated use public rental housing sensitive indicator arealevel socioeconomic status singapore risk factors used identify highrisk patients hospital receive interventions reduce readmission risk