Mesh ： Adult Brazil / epidemiology Delivery of Health Care / economics Female Follow-Up Studies Graft Survival Humans Incidence Infections / complications epidemiology Insurance, Health, Reimbursement / legislation & jurisprudence Interdisciplinary Communication Kidney Transplantation / adverse effects economics mortality statistics & numerical data Male Metabolic Diseases / complications epidemiology Middle Aged Patient Discharge Patient Readmission / economics statistics & numerical data trends Postoperative Complications / epidemiology Risk Factors Transplant Recipients / statistics & numerical data

来  源：   DOI：10.1590/2175-8239-JBN-2019-0089   PDF(Pubmed)

Abstract：
Early hospital readmission (EHR), defined as all readmissions within 30 days of initial hospital discharge, is a health care quality measure. It is influenced by the demographic characteristics of the population at risk, the multidisciplinary approach for hospital discharge, the access, coverage, and comprehensiveness of the health care system, and reimbursement policies. EHR is associated with higher morbidity, mortality, and increased health care costs. Monitoring EHR enables the identification of hospital and outpatient healthcare weaknesses and the implementation of corrective interventions. Among kidney transplant recipients in the USA, EHR ranges between 18 and 47%, and is associated with one-year increased mortality and graft loss. One study in Brazil showed an incidence of 19.8% of EHR. The main causes of readmission were infections and surgical and metabolic complications. Strategies to reduce early hospital readmission are therefore essential and should consider the local factors, including socio-economic conditions, epidemiology and endemic diseases, and mobility.
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