A multi-center analysis of readmission after cardiac surgery: Experience of The Northern New England Cardiovascular Disease Study Group

Autor:	Alexander Iribarne, Kristine Chaisson, Elaine M. Olmstead, Cathy S. Ross, Dennis Duquette, Robert E. Helm, Robert S. Kramer, Helen Desaulniers, Roberto C. De La Rosa, Spencer W. Trooboff, Benjamin M. Westbrook, Jeremiah R. Brown, David J. Malenka, Patrick C. Magnus
Rok vydání:	2019
Předmět:	Pulmonary and Respiratory Medicine Inotrope Male Risk medicine.medical_specialty Time Factors 030204 cardiovascular system & hematology Pericardial effusion Patient Readmission 03 medical and health sciences 0302 clinical medicine Postoperative Complications Interquartile range New England Internal medicine Atrial Fibrillation medicine Humans Cardiac Surgical Procedures Coronary Artery Bypass Aged Heart Failure business.industry Medical record Atrial fibrillation Arrhythmias Cardiac medicine.disease Heart Valves Cardiac surgery 030228 respiratory system Heart failure Etiology Surgery Female Cardiology and Cardiovascular Medicine business
Zdroj:	Journal of cardiac surgery. 34(8)
ISSN:	1540-8191
Popis:	BACKGROUND Readmissions after cardiac surgery are common and associated with increased morbidity, mortality and cost of care. Policymakers have targeted coronary artery bypass grafting to achieve value-oriented health care milestones. We explored the causes of readmission following cardiac surgery among a regional consortium of hospitals. METHODS Using administrative data, we identified patients readmitted to the same institution within 30 days of cardiac surgery. We performed standardized review of readmitted patients' medical records to identify primary and secondary causes of readmission. We evaluated causes of readmission by procedure and tested for univariate associations between characteristics of readmitted patients and nonreadmitted patients in our clinical registry. RESULTS Of 2218 cardiac surgery patients, 272 were readmitted to the index hospital within 30 days for a readmission rate of 12.3%. Median time to readmission was 9 days (interquartile range 4-16 days) and only 13% of patients were evaluated in-office before readmission. Readmitted patients were more likely to have had valve surgery (31.3% vs 22.7%) than patients not readmitted. Readmitted patients were also more likely to have preoperative creatinine more than or equal to 2 mg/dL (P = .015) or congestive heart failure (CHF) (P = .034), require multiple blood transfusions or sustained inotropic support (P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::959f51eeb445a46e908cdce4784ca2f3 https://pubmed.ncbi.nlm.nih.gov/31212387 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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