Brian K. Ahmedani|Leif I. Solberg|Laurel A. Copeland|Ying Fang-Hollingsworth|Christine Stewart|Jianhui Hu|David R. Nerenz|L. Keoki Williams|Andrea E. Cassidy?Bushrow|Jeanette Waxmonsky|Christine Y. Lu|Beth E. Waitzfelder|Ashli Owen?Smith|Karen J. Coleman|Frances L. Lynch|Ameena T. Ahmed|Arne Beck|Rebecca C. Rossom|Gregory E. Simon
Psychiatric Comorbidity and 30-Day Readmissions After Hospitalization for Heart Failure, AMI, and Pneumonia
2012 centers medicare medicaid services implemented policy penalizes hospitals excessive allcause hospital readmissions within 30 days discharge index hospitalization heart failure hf acute myocardial infarction ami pneumonia aim study investigate influence psychiatric comorbidities 30day allcause readmissions following hospitalizations hf ami pneumoniadata 20092011 derived hmo research network virtual data warehouse 11 health systems affiliated mental health research network index inpatient hospitalizations hf ami pneumonia captured n160169 psychiatric diagnoses year prior admission measured allcause readmissions within 30 days discharge outcome variableapproximately 18 individuals index inpatient hospitalizations hf ami pneumonia readmitted within 30 days rate readmission 5 greater individuals psychiatric comorbidity compared without psychiatric comorbidity 217 165 respectively p001 depression anxiety dementia associated readmissions persons index hospitalizations general medical condition conditions combined p05 substance use bipolar disorders linked higher readmissions initial hospitalizations hf pneumonia p05 readmission rates declined overall 2009 2011individuals hf ami pneumonia experience high rates readmission psychiatric comorbidities appear increase risk future interventions reduce readmission consider adding mental health components