{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:55:37Z","timestamp":1781646937060,"version":"3.54.5"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":41,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Palliat Care"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early readmissions among hospice patients remain common, despite goals to minimize them. This issue remains underexplored in the Middle East. This study describes the primary causes of hospital readmission from hospice settings and reports patient characteristics observed among readmitted cases at a comprehensive oncology center in Jordan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 163 readmissions were analyzed, representing 133 unique patients. The median age was 59 years (range: 18\u201388), and 51.9% were female. 72.2% had at least one comorbidity, predominantly cardiovascular (83.3%). Gastrointestinal cancers were the most common primary diagnosis (27.8%). Prior to readmission, 71.8% were receiving home hospice care, and 63.8% had Full Code status. The median Palliative Performance Scale was 40. Uncontrolled conditions accounted for 56.4% of readmissions, primarily worsening infections, and uncontrolled pain, while unanticipated new medical issues contributed to 52.8%. Caregiver distress was documented in 12.3% of cases. More than half of patients (54.0%) died during hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within seven days of discharge, hospice patients in our center were readmitted most commonly for uncontrolled symptoms and new medical issues. These descriptive findings may help target quality improvement in symptom management, discharge planning, documentation of end\u2011of\u2011life preferences, and transitions between hospice and hospital services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12904-026-02075-3","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T05:09:08Z","timestamp":1775020148000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Causes of early hospital readmission in hospice patients at a comprehensive oncology center in Jordan: a retrospective descriptive study"],"prefix":"10.1186","volume":"25","author":[{"given":"Ala\u2019a","family":"Dabbous","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areen","family":"Said","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amani","family":"El Mughrabi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadi","family":"Abu Farsakh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sewar","family":"S Salmany","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"2075_CR1","unstructured":"National Institute on Aging. 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Ethical approval was obtained from the King Hussein Cancer Center Institutional Review Board in Amman, Jordan (Approval No: 24KHCC190_842025). The IRB granted a waiver of informed consent due to the retrospective nature of the study and the use of fully anonymized patient data, in accordance with national regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Correspondence to Ala\u2019a Dabbous.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Corresponding author"}}],"article-number":"134"}}