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All cause 30-day readmissions: US national statistics, 2011

The HCUPnet data site is a lot of fun to explore.  I’d like to highlight national readmission data from HCUPnet in this blog post, but there is a tremendous amount of other fascinating data as well.

Here’s your quiz question for today:  what do you think the top condition is as far as resulting in the highest PERCENT of patients being readmitted within 30 days.  I predict that you’ll say, “Well, of course!” when I tell you.

  • FALSE LABOR!  Yes, not surprisingly, well over three-quarters of patients admitted with DRG 780 (false labor) show up again at a hospital within 30 days.  In fact, it surprises me that the percentage is not higher than that.

These are national figures derived from the U.S. Agency for Healthcare Research and Quality’s (AHRQ) Healthcare Cost and Utilization Project.  The most current dataset available at this time is for 2011.

Let’s look at some often-requested conditions:

  • Heart attack (DRGs 280, 281, 282) — there are three different codes that pertain to people who are hospitalized with heart attack and survive, depending on whether they have other medical conditions complicating their recovery.  The 30-day readmission rate ranges from 14 to 26 percent depending on which of these three different DRG codes we are looking at.
  • Pneumonia (DRGs 193, 194, 195) — like for heart attack, patients admitted for simple pneumonia & pleurisy might be coded in either of 3 different DRGs,  The 30-day readmission rate for these three DRGs ranges from about 9 percent to 21 percent, depending on which of the three DRGs we are looking at.

As a bonus, this data source also provides the MEAN COST PER READMISSION by DRG, nationally.

Source: Agency for Healthcare Research and Quality. (2014). Hospital Readmissions.  Click here to access this free website: http://hcupnet.ahrq.gov/ .  Posted by AHA Resource Center (312) 422-2050 rc@aha.org

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