Comparison of risk factors for length of stay and readmission following lower extremity bypass surgery
作者： Scott M. Damrauer , Ann C. Gaffey , Ann DeBord Smith , Ronald M. Fairman , Louis L. Nguyen
DOI: 10.1016/J.JVS.2015.06.213
关键词:
摘要: Objective Recent initiatives to improve health care quality have focused attention on length of stay (LOS) and readmission rates for surgical patients, yet these two outcomes may be inversely related. This study was designed elucidate the risk factors both clarify relationship between them in patients undergoing lower extremity bypass (LEB). Methods Peripheral arterial disease (PAD) who underwent LEB were identified from 2007-2010 California State Inpatient Database. LOS analyzed using Poisson regression. Risk 30-day logistic Results There 6307 LEB, 1291 (20%) readmitted. The average index 8.3 days those readmitted 5.5 days not ( P Conclusions In is primarily associated with occurrence postoperative complications, whereas largely explained by underlying patient illness. Additionally, increased an independent factor readmission. These findings suggest that efforts reduce will complementary. Furthermore, they support notion should risk-adjusted.
jvascsurg.org
elsevier.com
sci-hub.se 参考文章(19)
Eric B. Schneider, Omar Hyder, Christopher L. Wolfgang, Kenzo Hirose, Michael A. Choti, Martin A. Makary, Joseph M. Herman, John L. Cameron, Timothy M. Pawlik, Patient Readmission and Mortality after Surgery for Hepato-Pancreato-Biliary Malignancies Journal of the American College of Surgeons. ,vol. 215, pp. 607- 615 ,(2012) , 10.1016/J.JAMCOLLSURG.2012.07.007
Richard K. Freeman, J. Russell Dilts, Anthony J. Ascioti, Megan Dake, Raja S. Mahidhara, A Comparison of Length of Stay, Readmission Rate, and Facility Reimbursement After Lobectomy of the Lung The Annals of Thoracic Surgery. ,vol. 96, pp. 1740- 1746 ,(2013) , 10.1016/J.ATHORACSUR.2013.06.053
David Yu Greenblatt, Caprice C. Greenberg, Amy J.H. Kind, Jeffrey A. Havlena, Matthew W. Mell, Matthew T. Nelson, Maureen A. Smith, K. Craig Kent, Causes and Implications of Readmission after Abdominal Aortic Aneurysm Repair Annals of Surgery. ,vol. 256, pp. 595- 605 ,(2012) , 10.1097/SLA.0B013E31826B4BFE
Eric B. Schneider, Omar Hyder, Benjamin S. Brooke, Jonathan Efron, John L. Cameron, Barish H. Edil, Richard D. Schulick, Michael A. Choti, Christopher L. Wolfgang, Timothy M. Pawlik, Patient readmission and mortality after colorectal surgery for colon cancer: impact of length of stay relative to other clinical factors. Journal of The American College of Surgeons. ,vol. 214, pp. 390- 398 ,(2012) , 10.1016/J.JAMCOLLSURG.2011.12.025
Gert P Westert, Ronald J Lagoe, Ilmo Keskimäki, Alastair Leyland, Mark Murphy, An international study of hospital readmissions and related utilization in Europe and the USA. Health Policy. ,vol. 61, pp. 269- 278 ,(2002) , 10.1016/S0168-8510(01)00236-6
Carl van Walraven, Peter C. Austin, Alison Jennings, Hude Quan, Alan J. Forster, A modification of the Elixhauser comorbidity measures into a point system for hospital death using administrative data. Medical Care. ,vol. 47, pp. 626- 633 ,(2009) , 10.1097/MLR.0B013E31819432E5
Yue Li, Xueya Cai, Dana B. Mukamel, Peter Cram, Impact of Length of Stay After Coronary Bypass Surgery on Short-term Readmission Rate: An Instrumental Variable Analysis Medical Care. ,vol. 51, pp. 45- 51 ,(2013) , 10.1097/MLR.0B013E318270BC13
Jeffrey J. Siracuse, Heather L. Gill, Douglas W. Jones, Darren B. Schneider, Peter H. Connolly, Inkyong Parrack, Zhen S. Huang, Andrew J. Meltzer, Risk factors for protracted postoperative length of stay after lower extremity bypass for critical limb ischemia. Annals of Vascular Surgery. ,vol. 28, pp. 1432- 1438 ,(2014) , 10.1016/J.AVSG.2013.12.027
Anne Elixhauser, Claudia Steiner, D. Robert Harris, Rosanna M. Coffey, Comorbidity measures for use with administrative data. Medical Care. ,vol. 36, pp. 8- 27 ,(1998) , 10.1097/00005650-199801000-00004
Paul A. Heidenreich, Anju Sahay, John R. Kapoor, Michael X. Pham, Barry Massie, Divergent trends in survival and readmission following a hospitalization for heart failure in the Veterans Affairs health care system 2002 to 2006. Journal of the American College of Cardiology. ,vol. 56, pp. 362- 368 ,(2010) , 10.1016/J.JACC.2010.02.053