{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T22:51:50Z","timestamp":1783551110708,"version":"3.55.0"},"reference-count":35,"publisher":"BMJ","issue":"6","funder":[{"name":"Flinders Centre for clinical change and health care research"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,6,1]]},"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Limited studies have identified predictors of early and late hospital readmissions in Australian healthcare settings. Some of these predictors may be modifiable through targeted interventions. A recent study has identified malnutrition as a predictor of readmissions in older patients but this has not been verified in a larger population. This study investigated what predictors are associated with early and late readmissions and determined whether nutrition status during index hospitalisation can be used as a modifiable predictor of unplanned hospital readmissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Two tertiary-level hospitals in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All medical admissions \u226518 years over a period of 1\u2009year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Primary objective was to determine predictors of early (0\u20137 days) and late (8\u2013180 days) readmissions. Secondary objective was to determine whether nutrition status as determined by malnutrition universal screening tool (MUST) can be used to predict readmissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 11\u2009750 (44.8%) readmissions within 6\u2009months, with 2897 (11%) early and 8853 (33.8%) late readmissions. MUST was completed in 16.2% patients and prevalence of malnutrition during index admission was 31%. Malnourished patients had a higher risk of both early (OR 1.39, 95%\u2009CI 1.12 to 1.73) and late readmissions (OR 1.23, 95%\u2009CI 1.06 to 128). Weekend discharges were less likely to be associated with both early (OR 0.81, 95%\u2009CI 0.74 to 0.91) and late readmissions (OR 0.91, 95%\u2009CI 0.84 to 0.97). Indigenous Australians had a higher risk of early readmissions while those living alone had a higher risk of late readmissions. Patients \u226580 years had a lower risk of early readmissions while admission to intensive care unit was associated with a lower risk of late readmissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Malnutrition is a strong predictor of unplanned readmissions while weekend discharges are less likely to be associated with readmissions. Targeted nutrition intervention may prevent unplanned hospital readmissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>ANZCTRN 12617001362381; Results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-022246","type":"journal-article","created":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T03:30:52Z","timestamp":1530070252000},"page":"e022246","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":40,"title":["Factors influencing early and late readmissions in Australian hospitalised patients and investigating role of admission nutrition status as a predictor of hospital readmissions: a cohort study"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7716-2599","authenticated-orcid":false,"given":"Yogesh","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of General Medicine, Flinders Medical Centre, Bedford Park, South Australia, Australia"},{"name":"College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, Flinders University Faculty of Medicine Nursing and Health Sciences, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Billingsley","family":"Kaambwa","sequence":"additional","affiliation":[{"name":"Health Economics Unit, Flinders University, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmi","family":"Shahi","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Flinders University, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Hakendorf","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Flinders Medical Centre, Bedford Park, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Horwood","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology, Flinders Medical Centre, Bedford Park, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Campbell","family":"Thompson","sequence":"additional","affiliation":[{"name":"Discipline of Medicine, University of Adelaide, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,6,27]]},"reference":[{"key":"2025121411133123000_8.6.e022246.1","unstructured":"Royal College of Physicians. 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