Boomer Bouncebacks - Discharge Vitals Matter

Short Attention Span Summary

Boomer Bouncebacks
In patients over 65 with a discharge SBP < 97, HR > 101, temperature > 99.2 F (37.3 C), or SpO2 < 92%, odds of readmission as an inpatient within 7 days was doubled.  If more than one vital sign abnormality, odds were even higher.  This was a large retrospective study of a Kaiser Permanente database from 2009-2010.

Spoon Feed
Pay attention to discharge vitals, especially in patients over age 65; they predict bouncebacks.  emDOCs has an outstanding post on unexplained abnormal VS at discharge.

Citation
Emergency Department Vital Signs and Outcomes after Discharge.
Acad Emerg Med. 2017 Apr 4. doi: 10.1111/acem.13194. [Epub ahead of print]