{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T22:56:11Z","timestamp":1773788171440,"version":"3.50.1"},"reference-count":41,"publisher":"BMJ","issue":"3","funder":[{"name":"Institute of Health Carlos III with the European Regional Development Fund"},{"name":"Catalan Agency for the Management of Grants for University Research"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,2,21]]},"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Hospital readmission in patients admitted for community-acquired pneumonia (CAP) is frequent in the elderly and patients with multiple comorbidities, resulting in a clinical and economic burden. The aim of this study was to determine factors associated with 30-day readmission in patients with CAP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted in patients admitted to 20 hospitals in seven Spanish regions during two influenza seasons (2013\u20132014 and 2014\u20132015).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>We included patients aged \u226565 years admitted through the emergency department with a diagnosis compatible with CAP. Patients who died during the initial hospitalisation and those hospitalised more than 30 days were excluded. Finally, 1756 CAP cases were included and of these, 200 (11.39%) were readmitted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>30-day readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Factors associated with 30-day readmission were living with a person aged &lt;15 years (adjusted OR (aOR) 2.10, 95%\u2009CI 1.01 to 4.41), &gt;3\u2009hospital visits during the 90 previous days (aOR 1.53, 95%\u2009CI 1.01 to 2.34), chronic respiratory failure (aOR 1.74, 95%\u2009CI 1.24 to 2.45), heart failure (aOR 1.69, 95%\u2009CI 1.21 to 2.35), chronic liver disease (aOR 2.27, 95%\u2009CI 1.20 to 4.31) and discharge to home with home healthcare (aOR 5.61, 95%\u2009CI 1.70 to 18.50). No associations were found with pneumococcal or seasonal influenza vaccination in any of the three previous seasons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study shows that 11.39% of patients aged \u226565 years initially hospitalised for CAP were readmitted within 30 days after discharge. Rehospitalisation was associated with preventable and non-preventable factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-020243","type":"journal-article","created":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T09:26:08Z","timestamp":1522401968000},"page":"e020243","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":34,"title":["Factors associated with 30-day readmission after hospitalisation for community-acquired pneumonia in older patients: a cross-sectional study in seven Spanish regions"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0794-9238","authenticated-orcid":false,"given":"Diana","family":"Toledo","sequence":"first","affiliation":[{"name":"Epidemiolog\u00eda y Salud P\u00fablica, (CIBERESP), Consorcio Centro de Investigaci\u00f3n Biom\u00e9dica en Red, M.P, Madrid, Spain"},{"name":"Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00faria","family":"Soldevila","sequence":"additional","affiliation":[{"name":"Epidemiolog\u00eda y Salud P\u00fablica, (CIBERESP), Consorcio Centro de Investigaci\u00f3n Biom\u00e9dica en Red, M.P, Madrid, Spain"},{"name":"Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00faria","family":"Torner","sequence":"additional","affiliation":[{"name":"Epidemiolog\u00eda y Salud P\u00fablica, (CIBERESP), Consorcio Centro de Investigaci\u00f3n Biom\u00e9dica en Red, M.P, Madrid, Spain"},{"name":"Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain"},{"name":"Servei de Control Epidemiol\u00f2gic, Ag\u00e8ncia de Salut P\u00fablica de Catalunya, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Jos\u00e9","family":"P\u00e9rez-Lozano","sequence":"additional","affiliation":[{"name":"UGC Prevenci\u00f3n, Promoci\u00f3n y Vigilancia de la Salud, Hospital Valme, Seville, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Espejo","sequence":"additional","affiliation":[{"name":"Unitat de Malalties Infeccioses, Hospital de Terrassa, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemma","family":"Navarro","sequence":"additional","affiliation":[{"name":"Unitatd\u2019Epidemiologia i Avaluaci\u00f3, Parc Tauli Hospital Universitari, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikel","family":"Egurrola","sequence":"additional","affiliation":[{"name":"Serviciode Neumolog\u00eda, Hospital de Galdakao, Usansolo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngela","family":"Dom\u00ednguez","sequence":"additional","affiliation":[{"name":"Epidemiolog\u00eda y Salud P\u00fablica, (CIBERESP), Consorcio Centro de Investigaci\u00f3n Biom\u00e9dica en Red, M.P, Madrid, Spain"},{"name":"Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,3,30]]},"reference":[{"key":"2025121409421505000_8.3.e020243.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2007.03.006"},{"key":"2025121409421505000_8.3.e020243.2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.129502"},{"key":"2025121409421505000_8.3.e020243.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2012.03937.x"},{"key":"2025121409421505000_8.3.e020243.4","unstructured":"Pneumonia. 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