{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:56:01Z","timestamp":1782496561745,"version":"3.54.5"},"reference-count":31,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"unspecified","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,2,10]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Unplanned hospital readmissions within 30 days of discharge measure the quality of healthcare. This study aims to identify the characteristics of patients at higher risk of readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>North-east Italy (Marca Trevigiana Local Health Authority).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data source<\/jats:title>\n                    <jats:p>The study examined a total of 39\u2009467 index admissions from hospital discharges (SDO) in the 890\u2009000-inhabitant area during 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measure<\/jats:title>\n                    <jats:p>Readmission rates and 95% CIs were computed by risk factor, age and type of admission (surgical or medical). A logistic mixed-effects model was used to estimate readmission OR, adjusting for potential confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 2197 readmissions occurred within 30 days of the index admission, resulting in an overall rate of 30-day readmissions of 6.7% (CI 6.4% to 7.0%). The median time to readmission was 11 days (IQR 5 to 20). In the multivariate analysis, after adjusting for age and sex, the following clinical conditions were associated with a higher risk of readmission: alcohol-related disease (OR=2.06, CI 1.36 to 3.13), metastatic cancer (OR=1.98, CI 1.57 to 2.50), epilepsy (OR=1.93, CI 1.36 to 2.75), dialysis or end-stage kidney disease (OR=1.92, CI 1.39 to 2.66), chronic obstructive pulmonary disease (OR=1.88, CI 1.49 to 2.36), stoma (OR=1.72, CI 1.22 to 2.44), transplant (OR=1.62, CI 1.03 to 2.55), being bedridden (OR=1.57, CI 1.28 to 1.93), anaemia (OR=1.57, CI 1.35 to 1.83), urinary tract infection (OR=1.54, CI 1.30 to 1.83), pneumonia (OR=1.52, CI 1.31 to 1.75), dementia (OR=1.49, CI 1.24 to 1.79), diabetes (OR=1.37, CI 1.17 to 1.61) and transfusion (OR=1.34, CI 1.03 to 1.73).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Several chronic and acute conditions at index admission significantly increased the risk of readmission. Strengthening transitional care, outpatient services and palliative care could mitigate readmissions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-103595","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T05:10:25Z","timestamp":1772082625000},"page":"e103595","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of unplanned 30-day hospital readmission: a retrospective cohort study in north-east Italy"],"prefix":"10.1136","volume":"16","author":[{"given":"Gino","family":"Sartor","sequence":"first","affiliation":[{"name":"Azienda ULSS n 2 Marca Trevigiana, Treviso, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Fusco","sequence":"additional","affiliation":[{"name":"Azienda ULSS n 2 Marca Trevigiana, Treviso, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marzio","family":"Milana","sequence":"additional","affiliation":[{"name":"Azienda ULSS n 2 Marca Trevigiana, Treviso, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Marcon","sequence":"additional","affiliation":[{"name":"Azienda ULSS n 2 Marca Trevigiana, Treviso, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Battagello","sequence":"additional","affiliation":[{"name":"Azienda ULSS n 2 Marca Trevigiana, Treviso, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Zardetto","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Grazia","family":"Ruggieri","sequence":"additional","affiliation":[{"name":"Azienda ULSS n 2 Marca Trevigiana, Treviso, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Grotto","sequence":"additional","affiliation":[{"name":"Department of Pharmaceutical and Pharmacological Sciences, Universita degli Studi di Padova, Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Rigon","sequence":"additional","affiliation":[{"name":"IRCCS San Camillo Hospital, Venice, Italy"},{"name":"Department of General Psychology, University of Padua, Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Arcara","sequence":"additional","affiliation":[{"name":"IRCCS San Camillo Hospital, Venice, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierfranco","family":"Conte","sequence":"additional","affiliation":[{"name":"IRCCS San Camillo Hospital, Venice, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2216-3807","authenticated-orcid":false,"given":"Alessandra","family":"Buja","sequence":"additional","affiliation":[{"name":"Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"2026062610414176000_16.2.e103595.1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.4594","article-title":"A Decade Later, Lessons Learned From the Hospital Readmissions Reduction Program","volume":"2","author":"Ibrahim","year":"2019","journal-title":"JAMA Netw Open"},{"key":"2026062610414176000_16.2.e103595.2","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1001\/jamacardio.2017.1143","article-title":"Association of US Centers for Medicare and Medicaid Services Hospital 30-Day Risk-Standardized Readmission Metric With Care Quality and Outcomes After Acute Myocardial Infarction","volume":"2","author":"Pandey","year":"2017","journal-title":"JAMA Cardiol"},{"key":"2026062610414176000_16.2.e103595.3","doi-asserted-by":"crossref","first-page":"317","DOI":"10.5694\/mja2.52424","article-title":"Hospital costs for unplanned re\u2010admissions within 30 days of hospitalisations with heart failure, Australia, 2013\u20132017: a retrospective cohort study","volume":"221","author":"Dang","year":"2024","journal-title":"Medical Journal of Australia"},{"key":"2026062610414176000_16.2.e103595.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1201268"},{"key":"2026062610414176000_16.2.e103595.5","unstructured":"Boccuti C , Casillas G . 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