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
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Readmissão do Paciente
/
Ponte de Artéria Coronária
/
Análise de Dados
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
/
Masculino
País/Região como assunto:
América do Norte
/
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Rev. bras. cir. cardiovasc
Ano de publicação:
2020
Tipo de documento:
Artigo
Instituição/País de afiliação:
Associação Beneficência Portuguesa de São Paulo/BR
/
Universidade Federal de São Paulo/BR
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