Predictors and outcomes of unplanned early rehospitalization in the first year following lung transplantation

Autor:	H. Mallidi, Souheil El-Chemaly, Ivan O. Rosas, Stacey Salomon, Anne L. Fuhlbrigge, Patrick R. Burkett, Hilary J. Goldberg, David J. Wolfe, Phillip C. Camp, Miguel Divo, Andrew M. Courtwright
Rok vydání:	2016
Předmět:	Male medicine.medical_specialty Time Factors medicine.medical_treatment 030230 surgery Patient Readmission 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Internal medicine Acute care Outcome Assessment Health Care Odds Ratio medicine Humans Lung transplantation Postoperative Period 030212 general & internal medicine Intensive care medicine Survival rate Retrospective Studies Transplantation business.industry Incidence Incidence (epidemiology) Hazard ratio Retrospective cohort study Odds ratio Middle Aged Prognosis Survival Rate Massachusetts Female business Follow-Up Studies Lung Transplantation
Zdroj:	Clinical Transplantation. 30:1053-1058
ISSN:	0902-0063
DOI:	10.1111/ctr.12787
Popis:	Unplanned early rehospitalization (UER), defined as an unscheduled admission within 30 days of a hospital discharge, is associated with graft loss and recipient mortality in some solid organ transplants but has not been investigated in lung transplant. In this retrospective study, we collected socio-demographic and clinical factors to determine predictors and outcomes of UER in the first year following lung transplantation. There were 193 patients who underwent lung transplantation and survived to discharge during the 7.9-year study period. There were 116 (60.1%) patients with at least one UER. Infections (32.8%) and post-surgical complications (11.8%) were the most common reasons for UER. On multivariate analysis, the strongest predictor of having an UER was discharge to a long-term acute care facility (odds ratio: 3.01, 95% confidence interval [CI] 1.46-6.20; P=.003). Patients with any UER in the first year following transplantation had worse adjusted survival (hazard ratio: 1.89, 95% CI 1.02-3.50; P=.04). It is unclear, however, to what extent UERs reflect preventable outcomes. Further large-scale, prospective research is needed to identify the extent to which certain types of UER are modifiable and to define patients at high-risk for preventable UER.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bf5d1068b7ae47323ee46dca821d76f3 https://doi.org/10.1111/ctr.12787 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.