Predictors for Hospital Readmission After Cardiac Surgery
2014; Wiley; Volume: 30; Issue: 1 Linguagem: Inglês
10.1111/jocs.12441
ISSN1540-8191
AutoresAleksandar Redžek, Melisa Mironicki, Andrea Gvozdenović, Milovan Petrović, Nada Čemerlić-Ađić, Aleksandra Ilić, Lazar Velicki,
Tópico(s)Cardiac Valve Diseases and Treatments
ResumoJournal of Cardiac SurgeryVolume 30, Issue 1 p. 1-6 Original Article Predictors for Hospital Readmission After Cardiac Surgery Aleksandar Redžek M.D., Ph.D., Aleksandar Redžek M.D., Ph.D. Medical Faculty, University of Novi Sad, Novi Sad, Serbia Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorMelisa Mironicki M.D., Melisa Mironicki M.D. Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorAndrea Gvozdenović M.D., Andrea Gvozdenović M.D. Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorMilovan Petrović M.D., Ph.D., Milovan Petrović M.D., Ph.D. Medical Faculty, University of Novi Sad, Novi Sad, Serbia Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorNada Čemerlić-Ađić M.D., Ph.D., Nada Čemerlić-Ađić M.D., Ph.D. Medical Faculty, University of Novi Sad, Novi Sad, Serbia Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorAleksandra Ilić M.D., Aleksandra Ilić M.D. Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorLazar Velicki M.D., Ph.D., Corresponding Author Lazar Velicki M.D., Ph.D. orcid.org/0000-0002-2907-819X Medical Faculty, University of Novi Sad, Novi Sad, Serbia Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaAddress for correspondence: Lazar Velicki, M.D., Ph.D., Institute of Cardiovascular Diseases Vojvodina, Put doktora Goldmana 4, 21204 Sremska Kamenica, Serbia. Fax: +381 21 66 22 881; e-mail: [email protected]Search for more papers by this author Aleksandar Redžek M.D., Ph.D., Aleksandar Redžek M.D., Ph.D. Medical Faculty, University of Novi Sad, Novi Sad, Serbia Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorMelisa Mironicki M.D., Melisa Mironicki M.D. Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorAndrea Gvozdenović M.D., Andrea Gvozdenović M.D. Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorMilovan Petrović M.D., Ph.D., Milovan Petrović M.D., Ph.D. Medical Faculty, University of Novi Sad, Novi Sad, Serbia Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorNada Čemerlić-Ađić M.D., Ph.D., Nada Čemerlić-Ađić M.D., Ph.D. Medical Faculty, University of Novi Sad, Novi Sad, Serbia Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorAleksandra Ilić M.D., Aleksandra Ilić M.D. Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaSearch for more papers by this authorLazar Velicki M.D., Ph.D., Corresponding Author Lazar Velicki M.D., Ph.D. orcid.org/0000-0002-2907-819X Medical Faculty, University of Novi Sad, Novi Sad, Serbia Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Sremska Kamenica, SerbiaAddress for correspondence: Lazar Velicki, M.D., Ph.D., Institute of Cardiovascular Diseases Vojvodina, Put doktora Goldmana 4, 21204 Sremska Kamenica, Serbia. Fax: +381 21 66 22 881; e-mail: [email protected]Search for more papers by this author First published: 05 September 2014 https://doi.org/10.1111/jocs.12441Citations: 18 Conflict of interest: The authors acknowledge no conflict of interest in the submission. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Background and Aim of the Study Unplanned hospital readmissions are responsible for increased health care costs and have direct influence on patient quality of life. The aim of the study was to determine the predictors for hospital readmission after open-heart surgery. Methods Prospective study analyzed all patients who underwent cardiac surgery in the year 2012. Follow-up period was one year from the date of operation. Patients were divided in two groups based on their readmission status. Results In the study period of one year, 1268 patients who underwent cardiac surgery were included. A total of 121 patients (9.54%) were readmitted within one year after the operation. The main reasons for readmission were congestive heart failure (17.3%), sternal dehiscence (14.9%), rhythm and conduction disturbances (14.9%), wound infection (11.6%), recurrent angina pectoris (11.6%), and pericardial effusion (10.7%). Independent predictors for hospital readmission were previous stroke (p = 0.002), chronic heart failure (p < 0.0005), and postoperative pericardial effusion (p = 0.006). Conclusions Our study determined risk factors and predictors for hospital readmission after cardiac surgery. This may help to reduce readmission rates. doi: 10.1111/jocs.12441 (J Card Surg 2015;30:1–6) Citing Literature Volume30, Issue1January 2015Pages 1-6 RelatedInformation
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