Date of Conferral
Doctor of Healthcare Administration, DHA
The purpose of this study was to assess the association between hospital readmission and demographic variables (age, BMI, gender, income, marital status, comorbidities, and smoking history), and size and type of tracheostomy among African American chronic obstructive pulmonary disease (COPD) patients with tracheostomies. The Andersen model was the theoretical framework for this quantitative study. Secondary data were obtained from a long-term acute care facility. The sample comprised 438 African American adult patients admitted between 2010 and 2017. Logistic regression was used to analyze each research question and assess the odds of 30-day hospital readmission. The results indicated that the odds of readmission did not differ based on age, gender, marital status, income, smoking history, BMI, sepsis, congestive heart failure, hypertension, stoma cellulitis or size of tracheostomy. There was a significant relationship between the type of tracheostomy and odds of readmission, diabetes diagnosis, and odds of readmission. These findings suggest when controlling for length of stay, there is no association between age, gender, marital status, income, smoking history, BMI, sepsis, congestive heart failure, hypertension, stoma cellulitis or size of tracheostomy and hospital readmissions among African American COPD patients with tracheostomies. The results of this study provide information that may be useful for discharge planning and program implementation research. Such planning and research might help to reduce rates of hospital readmissions and as a result lower healthcare costs for African American COPD patients with tracheostomies.
Gibson, Shekeita, "Thirty-Day Readmission Risk Factors of African American Adult COPD Patients With Tracheostomies" (2019). Walden Dissertations and Doctoral Studies. 7005.