STUDY OF RATE, CAUSE AND PATTERN OF HOSPITAL READMISSIONS IN EMERGENCY MEDICINE OF A TERTIARY CARE HOSPITAL IN NORTH INDIA

Introduction: Hospital readmission rates serve as crucial indicators of healthcare quality, with significant implications for patient outcomes and financial costs. This study aims to investigate the rates, causes, and patterns of hospital readmissions in the emergency medicine department of a tertiary care hospital in North India. Methodology: A prospective study spanning one year was conducted, involving 4116 patients admitted through emergency medicine. The study analyzed readmission rates at different intervals (7 days, 30 days, 90 days, and 1 year) and considered demographic factors, primary diagnoses, and comorbidities. Data were collected through systematic random sampling and reinforced with semi-structured interviews and administrative records. Results & Observations: The study revealed varying readmission rates across different time intervals and diagnoses. Gastrointestinal disorders and respiratory diseases consistently exhibited elevated readmission rates. Age, gender, and Charlson Comorbidity Index were identified as significant factors influencing readmission patterns. Patients aged 50-59 years and males demonstrated higher readmission rates. The severity of comorbidities, as measuredbytheCharlson Comorbidity Index, was positivelycorrelated with increased readmission rates. Discussion: The findings underscore the importance of targeted post-discharge care, disease-specific interventions, and tailored strategies for specific demographics. The study emphasizes the need for enhanced monitoring and interventions, especially in the later stages post-discharge. Patient-centric insights highlight the role of discharge readiness and patient perceptions in influencing readmission dynamics. Conclusion: This study provides comprehensive insights into the complex factors influencing hospital readmissions in the emergency medicine setting. It emphasizes the necessity for focused interventions, customized care strategies, and all-encompassing approaches to reduce readmission risks. Healthcare institutions are encouraged to prioritize transitional care, interdisciplinary collaboration, evidence-based interventions, and patient-centered care models to optimize patient outcomes and alleviate the economic burden associated with avoidable readmissions.