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Theses and Dissertations

Outcomes in General Internal Medicine Inpatients Open Access


Other title
hospital readmission
teaching hospital
post-discharge outcomes
weekend discharge
Type of item
Degree grantor
University of Alberta
Author or creator
Au,Anita G
Supervisor and department
Padwal, Rajdeep (Medicine)
McAlister, Finlay (Medicine)
Majumdar, Sumit (Medicine)
Examining committee member and department
Majumdar, Sumit (Medicine)
McAlister, Finlay (Medicine)
Bagshaw, Sean (Medicine)
Padwal, Rajdeep (Medicine)
Madsen, Karen (Medicine)
Department of Medicine
Experimental Medicine
Date accepted
Graduation date
Master of Science
Degree level
This thesis describes 3 thematically linked projects exploring outcomes for hospitalized medical patients. Project 1 examines the accuracy of various models in predicting post-discharge outcomes in patients with heart failure (HF). Project 2 explores the relationship between teaching and non-teaching services on clinical outcomes for patients admitted to general internal medicine (GIM) services. Using the risk adjustment model developed in project 1 and the covariates identified in project 2, project 3 explores whether post-discharge outcomes differed for weekend vs. weekday discharges for HF patients in teaching vs. non-teaching hospitals. The work from this thesis confirms that post-discharge adverse outcomes such as readmission or death are common in Alberta, are affected by multiple factors, and are not easily predicted using currently available models. Future efforts to identify and intervene in patients at high risk of readmissions will need to consider factors beyond those we studied if they are to be successful.
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
Citation for previous publication
Au AG, McAlister FA, Bakal JA, Ezekowitz J, Kaul P, van Walraven C. Predicting the risk of unplanned readmission or death within 30 days of discharge after a heart failure hospitalization. Am Heart J. 2012 Sep;164(3):365-72.

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