Post–Acute Care Use and Hospital Readmission after Sepsis

In the Annals of the American Thoracic Society, Tiffanie Jones and colleagues, including Dylan Small, Scott Halpern, Craig Umscheid, and Meeta Prasad Kerlin, examine the rate of post-acute care and hospital readmission after sepsis, and the risk factors for these readmissions. In an observational cohort study conducted in an academic health care system, the researchers compared post-acute care use at discharge and hospital readmission after sepsis hospitalizations with non-sepsis hospitalizations. Post–acute care use at discharge was more likely after sepsis, driven by skilled care facility placement, with the highest rate observed after severe sepsis. Readmission rates at 7, 30, and 90 days were higher post-sepsis compared with non-sepsis hospitalizations, and the increased readmission risk was present regardless of sepsis severity. The authors identify risk factors associated with 30-day readmission after sepsis to be: age, malignancy diagnosis, hospitalizations in the year prior to the index hospitalization, non-elective index admission type, one or more procedures during the index hospitalization, and low hemoglobin and high red cell distribution width at discharge.