Readmission characteristics, n=128Value (n, %)
Clinically stable at time of SNF admission as determined by SNF providers
  Yes111 (86.7)
  No17 (13.3)
Did follow-up appointment occur between date of SNF admission and transfer from SNF to acute care?
  Yes26 (20.3)
  No102 (79.7)
Mean days to hospital readmission (±SD) 10.9 (11.3)
Acute care provider contacted prior to readmission
  Yes24 (18.8)
  No101 (78.9)
  Unknown3 (2.3)
Primary reason for readmission
  Infection27 (21.1)
  Gastrointestinal21 (16.4)
  Respiratory19 (14.8)
  Neurologic14 (10.9)
  Other‡21 (16.4)
  Cardiac13 (10.2)
  Fall4 (3.1)
  Renal2 (1.6)
  Psych7 (5.5)
  • *Included anxiety, depression, Parkinson’s disease, seizure disorder, hyperlipidaemia, peripheral arterial disease, deep vein thrombosis, pulmonary embolism, chronic kidney disease, hypercalcaemia, diabetes (prior to inclusion in data collection form as described below), hypothyroidism, HIV and anaemia.

  • †Included only in second iteration of data collection (68 of 128 patients) and percentages are not representative of entire sample.

  • ‡Included arm swelling, knee pain, hyperglycaemia, anaemia, poor wound healing, patient admitted from scheduled appointment at Brigham and Women’s Hospital (BWH), possible lower extremity acute thrombus, hypotension, patient admitted from haemodialysis and patient brought himself to emergency room (ER).

  • SNF, short-term nursing facility.