A preliminary look at readmission and mortality among chronically critically ill and other medically complex Medicare patients |
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| Authors: | Nicole M Coomer Melissa Morley Melvin J Ingber Allison Briggs Barbara Gage |
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| Institution: | 1. RTI International, Health Care Financing and Payment, Research Triangle Park, NC, USA;2. George Washington University, Center for Healthcare Innovation &3. Policy Research, Washington, DC, USA |
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| Abstract: | Chronically critically ill and other medically complex patients (CCI/MC-Ps) are those who are hospitalized with long-term intensive care needs and require extended periods of hospital-level care. CCI/MC-Ps may be at higher risk for readmission and mortality than other populations due to the severe nature their illnesses. This article examines factors that lead to increased probability of hospital readmission or mortality among CCI/MC Medicare patients. Logistic regression analyses are used to examine mortality and readmissions among the CCI/MC population. Numerous factors including length of stay in the acute hospital, age and gender affect whether a patient is readmitted to the acute care hospital within 90 days of discharge or dies within 60 days following a hospital stay. |
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| Keywords: | Readmission mortality Medicare chronically critically ill |
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