Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
April 17, 2018International Journal of SurgeryOpen Access

Coronary artery bypass graft readmission rates and risk factors - A retrospective cohort study

View Full Paper
Ask AI
Bookmark
Share

Key result

Following isolated CABG, 30-day readmission rates were significantly higher for Medicaid (20.2%) and Medicare (18.4%) patients compared to those with private insurance (11.7%; p < 0.0001).

Why the study?

What are the 30- and 90-day readmission rates and associated risk factors following isolated CABG?

Population

177,229 adults who underwent isolated coronary artery bypass graft in California, Florida, and New York…

Design

Cohort

Follow-up

90 days

Authors

TFTingting FengPeking UniversityRWRobert S. WhiteCornell UniversityLGLicia K. Gaber‐BaylisCornell University

Discussion

Loading...

Member takes

Implication

Public insurance linked to higher CABG readmission; leaves open whether disparity-focused interventions reduce rates.

Study Design

Type

Cohort (n=177,229)

Multicenter

Yes

Structured PICO

What are the 30- and 90-day readmission rates and associated risk factors following isolated CABG?

P
Population
177,229 patients aged ≥18 years who underwent isolated CABG in California, Florida, and New York between 2007 and 2011, assessed for 30- and 90-day readmission.
E
Exposure
Isolated coronary artery bypass graft (CABG)
O
Outcome
Unadjusted rates and adjusted odds of readmission at 30- and 90-dayshard clinical

Main Result

Absolute Event Rate: 20.2% vs 11.7%

p-value: p=<0.0001

Readmission rates after isolated CABG remain high and are strongly associated with socioeconomic disparities, including insurance status.

Cite This Study

Feng et al. (2018) conducted a cohort in Coronary artery bypass graft (CABG) (n=177,229). Medicaid or Medicare insurance vs. Private insurance was evaluated on unadjusted rates and adjusted odds of readmission at 30- and 90-days (p=<0.0001). Following isolated CABG, 30-day readmission rates were significantly higher for Medicaid (20.2%) and Medicare (18.4%) patients compared to those with private insurance (11.7%; p < 0.0001).

synapsesocial.com/papers/6a8966a240fe6a3effcb04cdhttps://doi.org/10.1016/j.ijsu.2018.04.022

Topics

Atrial fibrillationPersistent AF management
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Risk Analysis for Readmission after Coronary Artery Bypass Surgery: Developing a Strategy to Reduce Readmissions2013 · 81 citations
  2. 2Medicare's Hospital Readmissions Reduction Program in Surgery May Disproportionately Affect Minority-serving Hospitals2014 · 79 citations
  3. 3Coding Algorithms for Defining Comorbidities in ICD-9-CM and ICD-10 Administrative Data2005 · 10,897 citations
  4. 4Race and Insurance Status as Risk Factors for Trauma Mortality2008 · 511 citations
  5. 5Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association2017 · 12,803 citations