Academic Journal
Early follow-up in a cardiological day hospital after heart surgery. Impact on hospital readmissions
| العنوان: | Early follow-up in a cardiological day hospital after heart surgery. Impact on hospital readmissions |
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| المؤلفون: | Vaqueriza Cubillo, D, Gomez Mariscal, E, Dominguez Munoa, M, Beltran Herrera, C, Suberviola Sanchez-Caballero, V, Briongos Figuero, S, Estevez Paniagua, A, Sanchez Hernandez, A, Mora Yague, L, Jimenez Loeches, S, Giganto Arroyo, M L, Cano Moracho, J M, Cuerpo Caballero, G, Gonzalez Pinto, A, Munoz Aguilera, R |
| المصدر: | European Heart Journal ; volume 43, issue Supplement_2 ; ISSN 0195-668X 1522-9645 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2022 |
| الوصف: | Introduction In the first few months after a heart surgery, hospital readmissions and are common. To reduce these events, we developed an early follow-up protocol after discharge based on attention in our cardiological day hospital (CDH), which allows clinical and analytical assessment, monitoring and intravenous treatment if needed, at successive visits. The objective of the study is to assess the protocol impact on the rate of early readmissions, after its implementation in January of 2016. Methods Patients in our area discharged after heart surgery between 2013 and 2019 were included. They were divided into two groups, one with conventional follow-up and one with initial follow-up in CDH. Baseline clinical characteristics, type of surgery and surgical risk were compared. The primary endpoint was the time to the first any-cause readmission. The follow-up time was 200 days from discharge. Quantitative variables were compared using Student's t test and categorical variables using chi-square test. Cox proportional hazards model was used for multivariate analysis. Results 436 patients, 166 with conventional and 270 with CDH follow-up, were included. Baseline characteristics are shown in the table. We found a trend of decreasing readmissions in the CDH group (23,5% in conventional group, 16,3% in CDH group, HR 0,74; CI 95%: 0,48–1,14, p 0,19) although statistical significance was not achieved. In multivariate analysis, the variables independently associated (p<0.05) with an increased risk of readmission at 200 days were: active encocarditis, prior atrial fibrillation, hypertension, Euroscore II surgical risk index >1.13, hospital length of stay >14 days and age>73 years. The time to a first cardiological assessment after discharge decreased significantly in the CDH group (64 vs 18 days, p<0.001). Conclusions In patients followed in CDH after heart surgery, there is a trend towards less readmissions in the first months after discharge. Some baseline characteristics have ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/eurheartj/ehac544.1103 |
| الاتاحة: | https://doi.org/10.1093/eurheartj/ehac544.1103 https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.1103/46361237/ehac544.1103.pdf |
| Rights: | https://academic.oup.com/pages/standard-publication-reuse-rights |
| رقم الانضمام: | edsbas.64EE3D10 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/eurheartj/ehac544.1103 |
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