What is the clinical evidence from this study?

Study design: Cohort. Population: isolated coronary artery bypass grafting (CABG) (n=1470). Intervention: Early discharge (≤5 days) vs. Late discharge (>5 days). Primary outcome: 30-day all-cause unplanned readmission (OR 0.714, 95% CI 0.470-1.085, p=0.114).

What does this research mean for the field?

Early discharge within 5 days following isolated coronary artery bypass grafting does not independently increase the risk of 30-day hospital readmission or emergency room presentation. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To assess whether early discharge (five days or fewer) influences thirty-day readmission or emergency room presentation rates following isolated coronary artery bypass grafting.

September 10, 2026The Thoracic and Cardiovascular Surgeon

Early discharge after isolated CABG does not increase 30-day

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Key result

Early discharge after CABG shows no association with 30-day unplanned readmission versus late discharge.

OR 0.714
95% CI 0.470-1.085
P=0.114
n=1,470

Why the study?

The study aimed to evaluate the relationship between early discharge and 30-day readmission after isolated CABG.

Does early discharge (≤5 days) increase 30-day all-cause unplanned readmission in adults undergoing isolated CABG?

Key Points

To assess whether early discharge (five days or fewer) influences thirty-day readmission or emergency room presentation rates following isolated coronary artery bypass grafting.
Retrospective single-center study evaluating 1,470 consecutive adult patients who underwent isolated CABG between May 2023 and December 2024.
Patients with concomitant cardiac procedures, in-hospital mortality, or hospital stays exceeding 14 days were excluded.
Participants were stratified into early discharge (≤5 days) and late discharge (>5 days) groups, with primary outcome defined as 30-day all-cause unplanned readmission.
Unplanned 30-day readmissions occurred in 6.7% of early discharge patients versus 12.0% of late discharge patients (p = 0.001).
Multivariable analysis showed early discharge was not an independent predictor of 30-day readmission (OR: 0.714, 95% CI: 0.470–1.085, p = 0.114).
Independent multivariable predictors of readmission were cardiopulmonary bypass duration (OR: 1.008, 95% CI: 1.003–1.013, p = 0.003) and surgical re-exploration (OR: 2.479, 95% CI: 1.283–4.788, p = 0.007).

Study Design

Type

Cohort (n=1,470)

Multicenter

Structured PICO

Does early discharge (≤5 days) increase 30-day all-cause unplanned readmission in adults undergoing isolated CABG?

Population

1,470 adults undergoing isolated CABG, excluding those with concomitant procedures, in-hospital mortality, or prolonged hospitalization (>14 days), evaluated for 30-day readmission.

Exposure

Early discharge (≤5 days)

Comparator

Late discharge (>5 days)

Outcome

30-day all-cause unplanned readmissionhard clinical

Main Result

Odds Ratio: 0.714 (95% CI 0.47–1.085)

Absolute Event Rate: 6.7% vs 12%

p-value: p=0.114

Early discharge (≤5 days) after isolated CABG is a viable option that does not independently increase the risk of 30-day readmission.

Discussion

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Implication

Early discharge after CABG was not independently linked to readmission; hypothesis-generating and should not yet change practice.

Cite This Study

Tekin et al. (2026) conducted a cohort in isolated coronary artery bypass grafting (CABG) (n=1,470). Early discharge (≤5 days) vs. Late discharge (>5 days) was evaluated on 30-day all-cause unplanned readmission (OR 0.714, 95% CI 0.470-1.085, p=0.114). Early discharge (≤5 days) after isolated CABG was not independently associated with 30-day unplanned readmission compared to late discharge (OR 0.714; 95% CI 0.470-1.085; p=0.114).

synapsesocial.com/papers/6aa27bbd58559d80afc75206 https://doi.org/10.1055/a-2955-5342

View Full Paper

Ask AI

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Early discharge after isolated CABG does not increase 30-day

Key Points

Study Design

Structured PICO

Main Result

Discussion

Implication

Cite This Study

Early discharge after isolated CABG does not increase 30-day

Key Points

Study Design

Structured PICO

Main Result

Discussion

Implication

Cite This Study

Also Consider

Also Consider