Fall-related injuries are a leading diagnoses for hospital readmissions, particularly for at-risk older adults discharged home. There is a need for greater attention to transitional prevention strategies to avoid post-discharge falls.
Falls were the leading reason for readmission among patients whose initial hospital was fall-related and who were discharged to home, even with home health care.
The findings suggest that by emphasizing personalized fall prevention before discharge, especially for at-risk patients, hospitals could improve patients’ recovery and mobility, and minimize costly fall-related penalties, said principal investigator Geoffrey Hoffman, an assistant professor at the U-M School of Nursing.
Researchers examined 8.3 million patient readmissions using two years of Hospital Cost and Utilization Project Nationwide Readmissions data. They identified the frequency of fall-related readmissions overall and for two high-risk subgroups: those with cognitive impairment and those whose initial hospitalization was fall-related.
Among patients initially hospitalized with a fall-related injury who were discharged home or to home healthcare, a repeat fall-related injury ranked as the leading cause of readmission (12.3% and 11.8%, respectively).
The overall readmission rate was 14 percent. It was a bit higher for those with cognitive impairment (16 percent), but a bit lower for those with a previous fall injury (13%).
Proper education is key, said senior author Lillian Min, U-M associate professor of geriatrics and palliative medicine. “Discharge planners, doctors, patients and families should develop a personalized plan to balance increased mobility and fall prevention,” she said. This can include community-based interventions, home modifications and education.
Are you looking for a toolkit for success? Get this free resource: Overcoming Obstacles to Effective Senior Falls Prevention and Coordinated Care.
Other Articles You Might Enjoy
Improving Outcomes Between Home Care and Medicare Advantage Plans
Home care services have emerged as a critical strategy for improving health outcomes, reducing hospital readmissions, addressing both clinical and non-clinical needs, and improved patient satisfaction among Medicare Advantage beneficiaries.
Average 30-Day Readmission Rates by Medical Conditions
We provide critical readmission data about average readmission rates, condition-specific readmission rates, and hospitals with high and low readmission rates.
Hospital-at-Home Readmissions: Which Medical Conditions Created the Highest and Lowest Readmissions?
CMS’s report on the Acute Hospital Care at Home (AHCAH) initiative highlighted the highest and lowest readmission rates by medical conditions.
