A significant proportion of readmissions occur at a different hospital than the index admission, and are thus missed by current quality metrics. No study has examined all-hospital adult 30-day readmission rates, including to different hospitals, following burn injury across the US. The purpose of this study was to evaluate nationwide readmission rates, potential risk factors and ultimately the burden of burn injury readmission, including readmission to a different hospital.
The 2010-2014 Nationwide Readmissions Database was queried for patients admitted for burn. Multivariate logistic regression identified risk factors and associated cost for 30-day readmission at index and different hospitals.
Previously unreported, 1 in 3 burn readmissions nationally occur at a different hospital, have unique risk factors, and are costlier. Current hospital benchmarking underestimates readmission by failing to capture this unique subpopulation.