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Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes.


ABSTRACT: Vital sign instability on discharge could be a clinically objective means of assessing readiness and safety for discharge; however, the association between vital sign instability on discharge and post-hospital outcomes is unclear.To assess the association between vital sign instability at hospital discharge and post-discharge adverse outcomes.Multi-center observational cohort study using electronic health record data. Abnormalities in temperature, heart rate, blood pressure, respiratory rate, and oxygen saturation were assessed within 24 hours of discharge. We used logistic regression adjusted for predictors of 30-day death and readmission.Adults (?18 years) with a hospitalization to any medicine service in 2009-2010 at six hospitals (safety-net, community, teaching, and non-teaching) in north Texas.Death or non-elective readmission within 30 days after discharge.Of 32,835 individuals, 18.7 % were discharged with one or more vital sign instabilities. Overall, 12.8 % of individuals with no instabilities on discharge died or were readmitted, compared to 16.9 % with one instability, 21.2 % with two instabilities, and 26.0 % with three or more instabilities (p?

SUBMITTER: Nguyen OK 

PROVIDER: S-EPMC5215152 | biostudies-other | 2017 Jan

REPOSITORIES: biostudies-other

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Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes.

Nguyen Oanh Kieu OK   Makam Anil N AN   Clark Christopher C   Zhang Song S   Xie Bin B   Velasco Ferdinand F   Amarasingham Ruben R   Halm Ethan A EA  

Journal of general internal medicine 20160808 1


<h4>Background</h4>Vital sign instability on discharge could be a clinically objective means of assessing readiness and safety for discharge; however, the association between vital sign instability on discharge and post-hospital outcomes is unclear.<h4>Objective</h4>To assess the association between vital sign instability at hospital discharge and post-discharge adverse outcomes.<h4>Design</h4>Multi-center observational cohort study using electronic health record data. Abnormalities in temperatu  ...[more]

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