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| Study on the influencing factors and control of unplanned readmission within 31 days in orthopedic patients |
| GUO Zhihui1 GAO Jie1 LI Jia2 HAN Lei3 ZHAO Yan4 |
1.Department of Outpatient, the Second Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010030, China; 2.Medical Equipment Division, the Second Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010030, China; 3.Department of Medical, the Second Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010030, China;
4.Spine Surgery, the Second Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010030, China |
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Abstract Objective To analyze the influencing factors of unplanned readmission within 31 days in orthopedic patients, and to propose effective countermeasures for controlling and managing the unplanned readmission rate, so as to reduce the burden on patients and provide references for improving hospital quality management. Methods The medical records of 14 950 patients discharged from Department of Orthopedics, the Second Affiliated Hospital of Inner Mongolia Medical University from January to December 2018 were collected. Among them, 93 cases of unplanned readmission patients were named as the unplanned readmitted group, and the remaining patients were named as the remaining patients group. Descriptive analysis and correlation analysis were carried out on the two groups of patients with age, gender, complications, intraoperative use of internal plants and postoperative infection, which were used as the observation indicators. Results The readmission rate was 0.62% (93/14 950). The differences in gender, intraoperative use of internal plants and postoperative infection between the two groups were all statistically significant (all P ＜ 0.05), while there were no significant differences in age and complications between the two groups (P ＞ 0.05). Conclusion Each department of orthopedics should strengthen preoperative examination to clarify the surgical complications. Pay attention to the reasonable use of intraoperative internal plants; strengthen postoperative monitoring to prevent postoperative infection, correctly guide patients′ postoperative rehabilitation training, and improve patients′ rehabilitation consciousness. Hospitals, doctors and patients are working together to reduce the rate of unplanned readmission.
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