Evaluation of 30-Day Unplanned Hospital Readmission in a Large Teaching Hospital in Shiraz, Iran

The information about lower 30-day readmission in Iran is very limited. The current study aimed at evaluating the causes of readmission in an educational hospital based on LACE index..
It was a case-control study evaluating the causes of readmission of the patients from February 2014 till February 2015 (12 months) in a large teaching hospital in Shiraz, Iran. Data were extracted from health information system (HIS) and after removing the planed readmission, the rest of data were examined according to 4 variables of LACE index; in addition to the season of admission, rate of preclinical requests, and patients’ living area. Data were transferred into Stata software version 11.0, according to the conditional regression analysis..
Results showed that 66 patients were readmitted during this time. In addition, having history of chronic non-communicable diseases such as hypertension (HTN), diabetes mellitus (DM), chronic kidney disease (CKD) (here called internal problem) (P = 0.04), surgical procedure (P = 0.03), and rate of paraclinical requests (P = 0.04) associated with readmission..
It is necessary to consider the patients with internal history, surgical procedure, and more paraclinical requirement. In addition, physicians should be educated to give more consideration to these groups.