Greater Changes in Drug Burden Index (DBI) during Hospitalization and Increased 30-Day Readmission Rates among Older In-Hospital Fallers. Issue 2 (2nd April 2020)

• Record Type: Journal Article
• Authors: Rasu, Rafia S.; Agbor-Bawa, Walter; Rianon, Nahid J.
• Is Part Of: Hospital topics. Volume 98:Issue 2(2020)
• Page Start: 59
• Page End: 67
• Publication Date: 2020-04-02
• Subjects: Drug burden index -- 30-day readmission -- in-hospital fall -- older patients; Hospitals -- Administration -- Periodicals; Hospitals -- Periodicals; 362.11068
• DOI: 10.1080/00185868.2020.1777916
• Languages: English
• ISSNs: 0018-5868

Abstract

Abstract: A higher drug burden index (DBI) is known to be associated with pre-admission falls leading to hospitalization. We investigated whether a mean difference in DBI (ΔDBI) between the events of in-hospital falls and hospital admission was associated with 30-day readmission in 113 patients ≥50 years who fell during their hospital stays between 2007 and 2014. A greater ΔDBI (≥0.09) was positively associated with higher 30-day readmission rates (incident rate ratio: 2.02; 95% confidence interval: 1.49–2.74). An effort to keep DBI low may thus decrease 30-day readmissions for older in-hospital fallers.