Incidence, causes, and risk factors for unplanned readmission in patients admitted with pulmonary tuberculosis in China

Xinchun Ye; Xiaoqiao Su; Jichan Shi; Xiangao Jiang; Saiduo Liu; Fang Cheng; Ning Pan; Chaochao Qiu; Chenwei Pan

doi:10.3855/jidc.17190

Incidence, causes, and risk factors for unplanned readmission in patients admitted with pulmonary tuberculosis in China

Authors

Xinchun Ye The Theorem Clinical College of Wenzhou Medical University, Department of Infectious Disease of Wenzhou Central Hospital, Wenzhou, Zhejiang, China
Xiaoqiao Su The Theorem Clinical College of Wenzhou Medical University, Department of Infectious Disease of Wenzhou Central Hospital, Wenzhou, Zhejiang, China
Jichan Shi The Theorem Clinical College of Wenzhou Medical University, Department of Infectious Disease of Wenzhou Central Hospital, Wenzhou, Zhejiang, China
Xiangao Jiang The Theorem Clinical College of Wenzhou Medical University, Department of Infectious Disease of Wenzhou Central Hospital, Wenzhou, Zhejiang, China
Saiduo Liu The Theorem Clinical College of Wenzhou Medical University, Department of Infectious Disease of Wenzhou Central Hospital, Wenzhou, Zhejiang, China
Fang Cheng The Theorem Clinical College of Wenzhou Medical University, Department of Infectious Disease of Wenzhou Central Hospital, Wenzhou, Zhejiang, China
Ning Pan The Theorem Clinical College of Wenzhou Medical University, Department of Infectious Disease of Wenzhou Central Hospital, Wenzhou, Zhejiang, China
Chaochao Qiu The Theorem Clinical College of Wenzhou Medical University, Department of Infectious Disease of Wenzhou Central Hospital, Wenzhou, Zhejiang, China
Chenwei Pan Department of Infectious Disease, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China

DOI:

https://doi.org/10.3855/jidc.17190

Keywords:

tuberculosis, unplanned readmission, logistic regression analysis, risk factors

Abstract

Introduction: To investigate the incidence, causes, and risk factors for unplanned readmission within 30 days of discharge in patients with pulmonary tuberculosis (TB).

Methodology: The clinical data of 1,062 patients with confirmed pulmonary TB who were admitted to our hospital from October 2018 to October 2021 were analysed retrospectively. The subjects were divided into a readmission group (354 cases) and a non-readmission group (708 cases) according to whether there was an unplanned admission within 30 days of discharge. We analysed the risk factors for unplanned readmission within 30 days after discharge with pulmonary TB.

Results: The incidence of unplanned readmission in patients with pulmonary TB was 5.2%. Being female (OR = 0.63, 95% CI: 0.434–0.942) and living in cities (OR = 0.218, 95% CI: 0.151–0.315) were protective factors for the readmission of patients with TB (p < 0.05). However, being ≥ 65 years old (OR = 2.574, 95% CI: 1.709–3.870), being a smoker (OR = 2.773, 95% CI: 1.751–4.390), having chronic obstructive pulmonary disease (COPD) (OR = 3.373, 95% CI: 1.708–6.660), having viral hepatitis (OR= 2.079, 95% CI: 1.067–4.052), receiving non-standard treatment (OR = 15.620, 95% CI: 10.413–23.431), having medical side effects (OR = 6.138, 95% CI: 3.798–9.922) and l unauthorised discharge (OR = 2.570, 95% CI: 1.509–4.376) were risk factors for the readmission to hospital of patients with TB (p < 0.05).

Conclusions: Gender, age, place of residence, smoking, COPD, hepatitis, non-standard treatment, adverse drug reactions and unauthorised discharge were risk factors of TB for unplanned readmission.

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Published

2023-07-27

How to Cite

Ye X, Su X, Shi J, Jiang X, Liu S, Cheng F, Pan N, Qiu C, Pan C (2023) Incidence, causes, and risk factors for unplanned readmission in patients admitted with pulmonary tuberculosis in China. J Infect Dev Ctries 17:1007–1013. doi: 10.3855/jidc.17190

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Issue

Vol. 17 No. 07: July 2023

Section

Original Articles

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