Predictors of hospital readmission within 30 days after coronary artery bypass grafting: data analysis of 2, 272 brazilian patients
Rev. bras. cir. cardiovasc
;
35(6): 884-890, Nov.-Dec. 2020. tab
Article
in English
| LILACS, SES-SP
| ID: biblio-1143984
ABSTRACT
Abstract Introduction:
In order to reduce readmission rates after coronary artery bypass grafting (CABG), its predictors should be known in different contexts. The objective of this study was to identify predictive factors of hospital readmission within 30 days after CABG in a Brazilian center.Methods:
A secondary analysis of an electronic database of patients submitted to isolated CABG was performed. The relationship between readmission within 30 days and demographic, anthropometric, clinical, and surgery-related characteristics was investigated by univariate analyses. Predictors were identified by multiple logistic regression.Results:
Data from 2,272 patients were included, with an incidence of readmission of 8.6%. The predictors of readmission were brown skin color (Beta=1.613; 95% confidence interval [CI] 1.047-2.458; P=0.030), African-American ethnicity (Beta=0.136; 95% CI 0.019-0.988; P=0.049), chronic kidney disease (Beta=2.214; 95% CI 1.269-3.865; P=0.005), postoperative use of blood products (Beta=1.515; 95% CI 1.101-2.086; P=0.011), chronic obstructive pulmonary disease (Beta=2.095; 95% CI 1.284-3.419; P=0.003), and use of acetylsalicylic acid (Beta=1.418; 95% CI 1.000-2.011; P=0.05). Preoperative antibiotic prophylaxis (Beta=0.742; 95% CI 0.5471.007; P=0.055) was marginally significant.Conclusion:
The predictors identified may support a closer postoperative follow-up and individualized planning for a safe discharge.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Patient Readmission
/
Coronary Artery Bypass
/
Data Analysis
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
/
Male
Country/Region as subject:
North America
/
South America
/
Brazil
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Year:
2020
Type:
Article
Institution/Affiliation country:
Associação Beneficência Portuguesa de São Paulo/BR
/
Universidade Federal de São Paulo/BR
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