Factors Associated with Readmission of Patients with Congenital Heart Disease in a Swiss University Hospital.

Details

Ressource 1Download: 5_28154912_Postprint.pdf (560.69 [Ko])
State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_71263D024E91
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Factors Associated with Readmission of Patients with Congenital Heart Disease in a Swiss University Hospital.
Journal
Pediatric cardiology
Author(s)
Chave M., Marques-Vidal P.
ISSN
1432-1971 (Electronic)
ISSN-L
0172-0643
Publication state
Published
Issued date
04/2017
Peer-reviewed
Oui
Volume
38
Number
4
Pages
650-655
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Congenital heart defects (CHD) lead to extensive use of healthcare resources. Still, there is little information available regarding readmission rates or associated factors. We sought to evaluate readmission rates and their determinants among patients with CHD hospitalized in a Swiss university hospital. We conducted a retrospective study using data from all non-adult (<18 years) patients hospitalized between 2002 and 2014 at the University Hospital of Lausanne with an International Classification of Diseases version 10 code Q20-Q25. Overall, 996 patients (460 girls, 332 undergoing surgery, mean age 2.7 years) were assessed, 96 of whom (9.6%) were readmitted within 30 days after discharge. Among the 96 readmissions, 83 (86.5%) were related to the CHD. Median time to readmission was 10 days (interquartile range 6-20) and median length of readmission was 12 days (interquartile range 6-20). After multivariate adjustment, foreign nationality, greater distance to hospital and length of index hospitalization <14 days predisposed to readmission. Patients who underwent surgery were less likely to be readmitted (8.7%). We conclude that 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.

Pubmed
Web of science
Open Access
Yes
Create date
14/02/2017 11:25
Last modification date
20/08/2019 14:29
Usage data