Key result
Unplanned 30-day readmissions reach ~16% after open heart surgery, linked to female sex, LDH, and urea.
Why the study?
Unplanned 30-day readmission after cardiac surgery leads to higher risks of complications, increased costs, and adverse outcomes for patients and care providers.
Observational (n=343)
No
Unplanned 30-day readmission after open heart surgery occurred in 16.3% of patients, driven primarily by sternal wound infections and associated with female gender and elevated postoperative LDH and urea.
May inform postoperative risk stratification; hypothesis-generating pending prospective validation before guiding interventions.
BACKGROUND: Unplanned 30-day readmission post-cardiac surgery imposes higher risks for complications, increased costs, and unfavorable events for the care provider and patient. This study was to determine the unplanned readmission rate, determinants, and most common events within 30 days post-cardiac surgery. Recommendations to prevent or minimize these complications are included. METHODS: Setting and design - a retrospective record review was conducted among all adult patients, who underwent open heart surgery between 2010 and 2020 at King Abdulaziz University Hospital (KAUH), Jeddah, Kingdom of Saudi Arabia. Using Google Forms, we manually collected data from hospital records. STATISTICAL ANALYSIS USED: binomial logistic regression model (using the backward stepwise method). Regression outcomes were expressed as odds ratios (ORs) and 95% CIs. A P-value of < 0.05 indicated statistical significance. RESULTS: Among 400 patients who underwent cardiac surgery, 343 patients were included in the study, including 53 unplanned readmissions, which was a rate of 16.3% (95% CI, 12.8 to 20.6%). The most frequently reported reasons for readmission were sternal wound infections (7.3%), pleural effusion (2.0%), and heart failure (1.7%). Female gender, high postoperative LDH and urea were the most important risk factors. CONCLUSION: Discharge planning, patient education, and cardiac surgery nurse home visit constitute the most important factors to minimize 30 days of unplanned readmission.
No takes yet. Share an insight, caveat, or question.
Almramhi et al. (2022) conducted an observational in Post-cardiac surgery (n=343). Open heart surgery was evaluated on Unplanned 30-day readmission (95% CI 12.8 to 20.6). The unplanned 30-day readmission rate after open heart surgery was 16.3% (95% CI, 12.8-20.6%), with female gender, high postoperative LDH, and urea identified as the most important risk factors.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: