Prevalence and predictive factors associated readmission within 30 days in palliative care at Doisaket hospital
Keywords:
palliative care, readmission, end stage disease, care plan, caregiver burdenAbstract
Introduction: Palliative care is an important responsibility of family physicians. The care of terminal patients who are re-hospitalized within 30 days increases treatment costs, complication rates, hospital bed occupancy, and the likelihood of an unpeaceful death.
Objectives: This study employed a retrospective data collection design, involving a review of the medical records of palliative care patients (ICD-10: Z515) at Doisaket Hospital between October 1, 2022, and September 30, 2023. The study focused on the first hospital admission and all causes of readmission.
Research methodology: This study employed a retrospective data collection design, involving a review of the medical records of palliative care patients (ICD-10: Z515) at Doisaket Hospital between October 1, 2022, and September 30, 2023. The study focused on the first hospital admission and all causes of readmission.
Results: Among the 159 palliative care patients in this study, 55 patients (34.5%) were readmitted within 30 days. There were no significant differences between the groups in terms of gender, age, marital status, education, or diagnosis. Factors were significantly associated with readmission within 30 days included the absence of an advance care plan (AOR = 0.34, 95% CI 0.13 - 0.86, p = 0.023), the presence of a psychiatric disease (AOR = 2.98, 95% CI 1.01 - 8.76, p = 0.047), and caregiver burden (AOR = 12.18, 95% CI 3.46 - 42.86, p < 0.001).
Conclusion: To reduce the rate of readmission within 30 days, palliative care should include advance care planning, early screening and treatment of psychiatric diseases, and the screening and management of caregiver burden.
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