Predictors of 30-Day Hospital Readmission Following CABG in a Multicenter Database: A Cross-Sectional Study

被引:1
|
作者
Silva, Rene Augusto Goncalves e [1 ]
Borgomoni, Gabrielle Barbosa [2 ,4 ]
de Freitas, Fabiane Leticia [2 ]
Maia, Adnaldo da Silveira [3 ]
do Vale Jr, Cleostones Farias [1 ]
Pereira, Eva da Silva [1 ]
Silvestre, Leonardy Guilherme Ibrahim [1 ]
Dallan, Luis Roberto Palma [2 ]
Lisboa, Luiz Augusto [2 ]
Dallan, Luis Alberto Oliveira [2 ]
Jatene, Fabio Biscegli [2 ]
Mejia, Omar Asdrubal Vilca [2 ]
机构
[1] Hosp Joao XXIII, Santarem, PA, Brazil
[2] Univ Sao Paulo, Hosp Clin, Fac Med, Inst Coracao, Sao Paulo, SP, Brazil
[3] Inst Dante Pazzanese Cardiol, Sao Paulo, SP, Brazil
[4] Univ Sao Paulo, Hosp Clin, Fac Med, Inst Coracao Hosp, Ave Dr Eneas Carvalho de Aguiar 44, BR-05403000 Sao Paulo, SP, Brazil
关键词
Hospitals; Patient Readmission; Myocardium; SURGERY;
D O I
10.36660/abc.20230768
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The analysis of indicators such as hospital readmission rates is crucial for improving the quality of services and management of hospital processes. Objectives: To identify the variables correlated with hospital readmission up to 30 days following coronary artery bypass grafting (CABG). Methods: Cross-sectional cohort study by REPLICCAR II database (N=3.392) from June 2017 to June 2019. Retrospectively, 150 patients were analyzed to identify factors associated with hospital readmission within 30 days post-CABG using univariate and multivariate logistic regression. Analysis was conducted using software R, with a significance level of 0.05 and 95% confidence intervals. Results: Out of 3.392 patients, 150 (4,42%0 were readmitted within 30 days post-discharge from CABG primarily due to infections (mediastinitis, surgical wounds, and sepsis) accounting for 52 cases (34.66%). Other causes included surgical complications (14/150, 9.33%) and pneumonia (13/150, 8.66%). The multivariate regression model identified an intercept (OR: 1.098, p<0.00001), sleep apnea (OR: 1.117, p=0.0165), cardiac arrhythmia (OR: 1.040, p=0.0712), and intra-aortic balloon pump use (OR: 1.068, p=0.0021) as predictors of the outcome, with an AUC of 0.70. Conclusion: 4.42% of patients were readmitted post-CABG, mainly due to infections. Factors such as sleep apnea (OR: 1.117, p=0.0165), cardiac arrhythmia (OR: 1.040, p=0.0712), and intra-aortic balloon pump use (OR: 1.068, p=0.0021) were predictors of readmission, with moderate risk discrimination (AUC: 0.70).
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页数:7
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