Hospital Readmissions Following Abdominal Aortic Aneurysm Repair |
| |
Authors: | Laura C. Gioia BSc Kristian B. Filion BSc Seema Haider MSc Louise Pilote MD MPH PhD Mark J. Eisenberg MD MPH |
| |
Affiliation: | (1) Divisions of Cardiology and Clinical Epidemiology, Jewish General Hospital/McGill University, Montreal, Quebec, Canada;(2) World Wide Outcomes Research Product Development Group, Pfizer Inc., Groton and New London, CT;(3) Divisions of Clinical Epidemiology and Internal Medicine, Montreal General Hospital/McGill University, Montreal, Quebec, Canada |
| |
Abstract: | In-hospital outcomes associated with abdominal aortic aneurysm (AAA) repair are well described. However, little is known about post-discharge readmission rates, lengths of stay, associated mortality, and costs. We examined 206 consecutive patients who underwent AAA repair at two American hospitals between 1998 and 2000. Index hospitalization and 6-month readmission data were extracted from a resource and cost accounting system used by both hospitals. Among the 206 patients, 183 survived until discharge (mortality rate 11.2%). Among the surviving patients, 38 (21.0%) were readmitted within 6 months. Half of the readmissions occurred within two weeks of discharge, with patients presenting with a diverse array of complications. Nonelective repair and diabetes mellitus were independent predictors of hospital readmission (OR = 2.83, 95% CI = 1.25-6.40, p = 0.01; OR = 6.60, 95% CI = 1.02-42.4, p = 0.047, respectively). For each readmission, the mean length of stay was 10.7 ± 2.5 days and the mean cost was $13,397 ± 3,381. The cumulative number of hospital days during the 6 months post-discharge was 17.7 ± 3.5 days for each readmitted patient and the mean per-patient total cost was $23,262 ± 5,478. The mortality rate among readmitted patients was 13.2%. Overall, readmissions following AAA repair accounted for a cost >50% over and above the cost of the readmitted patients index hospitalization. Hospital readmissions are common during the 6 months following AAA repair. Patients who are readmitted experience long lengths of stay and high mortality rates, and their care incurs high costs.Dr. Eisenberg is a Physician-Scientist of the Quebec Foundation for Health Research. Dr. Pilote is a Physician-Scientist of the Canadian Institutes for Health Research. |
| |
Keywords: | |
本文献已被 ScienceDirect PubMed SpringerLink 等数据库收录! |
|