Factors Associated With Readmission Of Patients With Congenital Heart Disease In A Swiss University Hospital

Détails

Ressource 1Télécharger: BIB_0C6294AC90B8.P001.pdf (350.65 [Ko])
Etat: Serval
Version: Après imprimatur
ID Serval
serval:BIB_0C6294AC90B8
Type
Mémoire
Sous-type
(Mémoire de) maîtrise (master)
Collection
Publications
Titre
Factors Associated With Readmission Of Patients With Congenital Heart Disease In A Swiss University Hospital
Auteur(s)
CHAVE M.
Directeur(s)
MARQUES VIDAL P.-M.
Institution
Université de Lausanne, Faculté de biologie et médecine
Statut éditorial
Acceptée
Date de publication
2015
Langue
anglais
Nombre de pages
26
Résumé
ABSTRACT
Background: Congenital heart defects (CHD) are a common congenital anomaly that leads to extensive use of healthcare resources, yet there is little information available on the rates of readmission or the factors that predispose to readmission within 30 days of discharge. We sought to evaluate!the rate of readmission among patients with CHD and to analyse the factors associated with! readmission.
Methods: Retrospective study using data concerning all patients with an ICD=10 code from Q20 to Q25 hospitalised between 2002 and 2014 at the University Hospital of Lausanne. Readmission and association with socio-clinical factors were evaluated for all non-humanitarian patients under the age of 18.
Results: 996 patients younger than 18 were hospitalised for CHD, 332 undergoing surgery. 96 patients (9.6%) were readmitted within 30 days of discharge, 83 (86.5%) cardiac causes. Median time to readmission was 10 days (interquartile range: 6 - 20) and median length of readmission was 12 days (interquartile range: 6 - 20). Foreign nationality, greater distance to hospital, and length of index hospitalisation < 14 days predisposed to readmission. Patients who underwent surgery were less likely to be readmitted (8.7%).
Conclusion: Readmissions were frequent, almost 1 in 10 patients, and associated with several socio- clinical factors. Providing patients who live far from hospital with specialized care closer to home may help reduce the rate of readmission.
Mots-clé
congenital heart disease, readmission, Switzerland
Création de la notice
01/09/2016 9:12
Dernière modification de la notice
03/03/2018 13:38
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