Abstract
Context: Risk factors for perioperative mortality after coronary artery bypass graft (CABG) surgery have been extensively studied. However, which factors are associated with early readmissions following CABG surgery are less clear. Objective: To identify significant predictors of readmission within 30 days following CABG surgery. Design, Setting, and Patients: Causes for readmission within 30 days were investigated for all patients discharged after CABG surgery in the state of New York from January 1, 1999, through December 31, 1999. A variety of patient demographics, preoperative risk factors, complications, operative and postoperative factors, and provider characteristics were considered as potential predictors of readmissions. Main Outcome Measure: Hospital readmissions within 30 days of discharge following CABG surgery. Results: Of 16325 total patients, 2111 (12.9%) were readmitted within 30 days for reasons related to CABG surgery. The most common causes of readmission were postsurgical infection (n=598 [28%]) and heart failure (n=331 [16%]). Eleven risk factors were found to be independently associated with higher readmission rates: older age, female sex, African American race, greater body surface area, previous myocardial infarction within 1 week, and 6 comorbidities. After controlling for these preoperative patient-level risk factors, 2 provider characteristics (annual surgeon CABG volume
| Language | English (US) |
|---|---|
| Pages | 773-780 |
| Number of pages | 8 |
| Journal | Journal of the American Medical Association |
| Volume | 290 |
| Issue number | 6 |
| DOIs | |
| State | Published - Aug 13 2003 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Predictors of Readmission for Complications of Coronary Artery Bypass Graft Surgery. / Hannan, Edward L.; Racz, Michael J.; Walford, Gary D; Ryan, Thomas J.; Isom, O. Wayne; Bennett, Edward; Jones, Robert H.
In: Journal of the American Medical Association, Vol. 290, No. 6, 13.08.2003, p. 773-780.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Predictors of Readmission for Complications of Coronary Artery Bypass Graft Surgery
AU - Hannan, Edward L.
AU - Racz, Michael J.
AU - Walford, Gary D
AU - Ryan, Thomas J.
AU - Isom, O. Wayne
AU - Bennett, Edward
AU - Jones, Robert H.
PY - 2003/8/13
Y1 - 2003/8/13
N2 - Context: Risk factors for perioperative mortality after coronary artery bypass graft (CABG) surgery have been extensively studied. However, which factors are associated with early readmissions following CABG surgery are less clear. Objective: To identify significant predictors of readmission within 30 days following CABG surgery. Design, Setting, and Patients: Causes for readmission within 30 days were investigated for all patients discharged after CABG surgery in the state of New York from January 1, 1999, through December 31, 1999. A variety of patient demographics, preoperative risk factors, complications, operative and postoperative factors, and provider characteristics were considered as potential predictors of readmissions. Main Outcome Measure: Hospital readmissions within 30 days of discharge following CABG surgery. Results: Of 16325 total patients, 2111 (12.9%) were readmitted within 30 days for reasons related to CABG surgery. The most common causes of readmission were postsurgical infection (n=598 [28%]) and heart failure (n=331 [16%]). Eleven risk factors were found to be independently associated with higher readmission rates: older age, female sex, African American race, greater body surface area, previous myocardial infarction within 1 week, and 6 comorbidities. After controlling for these preoperative patient-level risk factors, 2 provider characteristics (annual surgeon CABG volume
AB - Context: Risk factors for perioperative mortality after coronary artery bypass graft (CABG) surgery have been extensively studied. However, which factors are associated with early readmissions following CABG surgery are less clear. Objective: To identify significant predictors of readmission within 30 days following CABG surgery. Design, Setting, and Patients: Causes for readmission within 30 days were investigated for all patients discharged after CABG surgery in the state of New York from January 1, 1999, through December 31, 1999. A variety of patient demographics, preoperative risk factors, complications, operative and postoperative factors, and provider characteristics were considered as potential predictors of readmissions. Main Outcome Measure: Hospital readmissions within 30 days of discharge following CABG surgery. Results: Of 16325 total patients, 2111 (12.9%) were readmitted within 30 days for reasons related to CABG surgery. The most common causes of readmission were postsurgical infection (n=598 [28%]) and heart failure (n=331 [16%]). Eleven risk factors were found to be independently associated with higher readmission rates: older age, female sex, African American race, greater body surface area, previous myocardial infarction within 1 week, and 6 comorbidities. After controlling for these preoperative patient-level risk factors, 2 provider characteristics (annual surgeon CABG volume
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UR - http://www.scopus.com/inward/citedby.url?scp=0043162138&partnerID=8YFLogxK
U2 - 10.1001/jama.290.6.773
DO - 10.1001/jama.290.6.773
M3 - Article
VL - 290
SP - 773
EP - 780
JO - JAMA - Journal of the American Medical Association
T2 - JAMA - Journal of the American Medical Association
JF - JAMA - Journal of the American Medical Association
SN - 0098-7484
IS - 6
ER -