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Eur J Trauma Emerg Surg · Apr 2019
Unplanned readmission after hospital discharge in burn patients in Iran.
- Zakiyeh Jafaryparvar, Masoomeh Adib, Atefeh Ghanbari, and Ehsan Kazemnezhad Leyli.
- Razi Clinical Research Development Center, Guilan University of Medical Sciences, Rasht, Iran.
- Eur J Trauma Emerg Surg. 2019 Apr 1; 45 (2): 365-371.
IntroductionBurns are considered as one of the most serious health problems throughout the world. They may lead to adverse consequences and outcomes. One of these outcomes is unplanned readmission. Unplanned readmission has been commonly used as a quality indicator by hospitals and governments. This study aimed to determine the predictors of unplanned readmission in patients with burns hospitalized in a burn center in the North of Iran (Guilan province, Rasht).MethodsThis retrospective analytic study has been done on the medical records of hospitalized patients with burns in Velayat Sub-Specialty Burn and Plastic Surgery Center, Rasht, Iran during 2008-2013. In general, 703 medical records have been reviewed but statistical analysis was performed on 626 medical records. All data were entered in SPSS (version 16) and analyzed by descriptive and inferential statistics.ResultsAmong 626 patients with burns, the overall readmission rate was 5.1%. Predictors of readmission included total body surface area (OR 1.030, CI 1.011-1.049), hypertension (OR 2.923, CI 1.089-7.845) and skin graft (OR 7.045, CI 2.718-18.258).ConclusionConsidering the outcome, predictors following burn have a crucial role in the allocation of treatment cost for patients with burns and they can be used as one of the quality indicators for health care providers and governments.
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