Analysis of Thirty-Day Readmission after Infrainguinal Bypass.

摘要: Background The Vascular Study Group of New England (VSGNE) conducted a pilot study evaluating the feasibility 30-day data collection in patients undergoing infrainguinal bypass (INFRA) which was subsequently expanded to include limited number additional sites within Quality Initiative (VQI). purpose our use these evaluate incidence readmission after bypass. A secondary goal perform critical appraisal elements and definitions dataset. Methods All procedures performed during period (7/2008 4/2016) were identified merged with dataset containing data. Incidence types assessed. primary endpoint readmission, defined as any hospital 30 days index operation; unplanned endpoint. Covariates tested for association endpoints included patient demographics, comorbidities, procedural, postoperative characteristics. Variables significant on univariate screen (P  Results Of 9,847 patients, 5,842 (59%) data, 907 (16%) readmitted 30 days. readmissions, 675 (85%) unplanned. Potentially modifiable independent determinants surgical site infection (SSI) (odds ratio [OR]: 10, 95% confidence interval [CI]: 8.2–12, P  Conclusions This demonstrates interest in, value of, VSGNE/VQI documents frequency Readmission days is strongly associated SSI, stressing importance efforts decrease this complication. Given that many other predictors are unmodifiable, only appropriate quality metric if it risk adjusted using large, real-world datasets such VQI. Lessons learned from analysis can be used select optimal elements.