A nationwide analysis of 30-day readmissions related to critical limb ischemia
| Autor: | Zubair Shah, Kirk Hance, Buddhadeb Dawn, Reza Masoomi, Kamal Gupta, Anand Prasad, Karthik Vamanan, Clay Quint, Andrew W. Hoel |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Time Factors medicine.medical_treatment 030204 cardiovascular system & hematology Revascularization Patient Readmission Amputation Surgical Peripheral Arterial Disease 03 medical and health sciences 0302 clinical medicine Ischemia Risk Factors medicine Humans Radiology Nuclear Medicine and imaging In patient 030212 general & internal medicine Aged Gangrene business.industry Endovascular Procedures Extremities General Medicine Critical limb ischemia Length of Stay medicine.disease Care facility Treatment Outcome Lower Extremity Amputation Anesthesia Female Surgery medicine.symptom Skilled Nursing Facility Cardiology and Cardiovascular Medicine business Index hospitalization |
| Zdroj: | Vascular. 26:239-249 |
| ISSN: | 1708-539X 1708-5381 |
| DOI: | 10.1177/1708538117727955 |
| Popis: | Objectives There is paucity of information regarding critical limb ischemia-related readmission rates in patients admitted with critical limb ischemia. We studied 30-day critical limb ischemia-related readmission rate, its predictors, and clinical outcomes using a nationwide real-world dataset. Methods We did a secondary analysis of the 2013 Nationwide Readmissions Database. We included all patients with a primary diagnosis of extremity rest pain, ulceration, and gangrene secondary to peripheral arterial disease. From this group, all patients readmitted with similar diagnosis within 30 days were recorded. Results Of the total 25,111 index hospitalization for critical limb ischemia, 1270 (5%) were readmitted with a primary diagnosis of critical limb ischemia within 30 days. The readmission rate was highest (9.5%) for the group that did not have any intervention (revascularization or major amputation) and was lowest for surgical revascularization and major amputation groups (2.6% and 1.3%, P value Conclusions In patients with primary diagnosis of critical limb ischemia, 30-day critical limb ischemia-related readmission rate was affected by initial management strategy and the severity of critical limb ischemia. Readmission was associated with a significantly higher rate of amputation, increased length of stay, and a more frequent discharge to an alternate care facility than index admission and thus may serve as a useful quality of care metric in critical limb ischemia patients. |
| Databáze: | OpenAIRE |
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