Key result
Hypertension and pre-operative estimated glomerular filtration rate were identified as significant risk factors for unplanned readmission within 1 year, which occurred in 42.1% of heart transplant patients.
Why the study?
Unplanned readmission after heart transplantation due to complications affects quality of life and long-term survival, but key risk factors in the first year required identification.
What are the risk factors for unplanned readmission within 1 year after heart transplantation in adult patients?
Cohort (n=484)
No
What are the risk factors for unplanned readmission within 1 year after heart transplantation in adult patients?
Hypertension and pre-operative eGFR are key risk factors for unplanned readmission within 1 year after heart transplantation, highlighting the need for targeted early screening and education.
Supports risk stratification in heart transplant recipients; leaves open whether targeting hypertension or eGFR reduces readmissions.
AIM: To investigate readmission rate and its association with patient characteristics to identify key risk factors associated with unplanned readmission in 1 year after heart transplantation. BACKGROUND: Unplanned readmission after heart transplantation due to complications affects patients' quality of life and long-term survival rate. DESIGN: A retrospective cohort study. METHODS: Individual, disease-related and therapeutic characteristics were included from electronic medical records. Participants were 484 adult patients who underwent heart transplantation between 1992 - 2016 at a tertiary hospital in Korea. RESULTS: A total of 204 patients underwent unplanned readmission. The most frequent causes were infection or rejection. Multivariate analysis revealed hypertension and pre-operative estimated glomerular filtration rate to be risk factors for unplanned readmission. CONCLUSION: Early screening educational programs and interventions based on recommended risk factors are needed to reduce the unplanned readmission rate of heart transplantation patients. IMPACT: Nurses who care for heart-transplanted patients should initially assess risk factors during the postoperative and recovery periods to reduce risk of readmission following surgery. These findings may contribute to early assessment criteria and development of discharge nursing education materials.
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Kim et al. (2019) conducted a cohort in Heart transplantation (n=484). Hypertension and pre-operative estimated glomerular filtration rate was evaluated on Unplanned readmission in 1 year. Hypertension and pre-operative estimated glomerular filtration rate were identified as significant risk factors for unplanned readmission within 1 year, which occurred in 42.1% of heart transplant patients.
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