BACKGROUND: Anemia is one of the most common complications of coronary artery bypass graft (CABG) surgery and has been shown to be associated with increased morbidity and mortality. The impact of anemia on hospital readmission after CABG, a potential measure of delayed complications, has not been addressed. STUDY DESIGN AND METHODS: We conducted a single-center retrospective study of 2102 patients who had CABG in Ontario to determine whether anemia at hospital discharge was associated with increased 30-day hospital readmissions, readmission secondary to cardiac disease, and 30-day mortality using administrative data. RESULTS: Of the 2102 patients, 224 patients (11%) were readmitted within 30 days of hospital discharge. Infection was the leading cause of readmissions (24%), followed by heart failure (13%), pulmonary disease (7%), and hemorrhagic disease (7%). Overall, 2.6% of patients were readmitted because of cardiac disease. Of patients discharged, 48% were discharged with a hemoglobin (Hb) level between 8 and 10 g/dL and 42% between 10 and 12 g/dL. Predischarge Hb concentration was not a significant independent predictor of 30-day readmission to the hospital due to all causes, readmission to the hospital due to cardiac causes, or 30-day mortality. A higher comorbidity score, adjusted odds ratio (OR) of 2.1 (95% confidence interval [CI], 1.3-3.6), leg and sternal wound infections OR of 1.9 (95% CI, 1.2-3.0), and postoperative renal failure OR of 1.4 (95% CI, 1.2-2.0) were associated with increased 30-day readmission rates. CONCLUSIONS: The predischarge Hb concentration after CABG was not associated with 30-day readmissions.
BACKGROUND:Anemia is one of the most common complications of coronary artery bypass graft (CABG) surgery and has been shown to be associated with increased morbidity and mortality. The impact of anemia on hospital readmission after CABG, a potential measure of delayed complications, has not been addressed. STUDY DESIGN AND METHODS: We conducted a single-center retrospective study of 2102 patients who had CABG in Ontario to determine whether anemia at hospital discharge was associated with increased 30-day hospital readmissions, readmission secondary to cardiac disease, and 30-day mortality using administrative data. RESULTS: Of the 2102 patients, 224 patients (11%) were readmitted within 30 days of hospital discharge. Infection was the leading cause of readmissions (24%), followed by heart failure (13%), pulmonary disease (7%), and hemorrhagic disease (7%). Overall, 2.6% of patients were readmitted because of cardiac disease. Of patients discharged, 48% were discharged with a hemoglobin (Hb) level between 8 and 10 g/dL and 42% between 10 and 12 g/dL. Predischarge Hb concentration was not a significant independent predictor of 30-day readmission to the hospital due to all causes, readmission to the hospital due to cardiac causes, or 30-day mortality. A higher comorbidity score, adjusted odds ratio (OR) of 2.1 (95% confidence interval [CI], 1.3-3.6), leg and sternal wound infections OR of 1.9 (95% CI, 1.2-3.0), and postoperative renal failure OR of 1.4 (95% CI, 1.2-2.0) were associated with increased 30-day readmission rates. CONCLUSIONS: The predischarge Hb concentration after CABG was not associated with 30-day readmissions.
Authors: Jeremiah R Brown; Chirag R Parikh; Cathy S Ross; Robert S Kramer; Patrick C Magnus; Kristine Chaisson; Richard A Boss; Robert E Helm; Susan R Horton; Patricia Hofmaster; Helen Desaulniers; Pamela Blajda; Benjamin M Westbrook; Dennis Duquette; Kelly LeBlond; Reed D Quinn; Cheryl Jones; Anthony W DiScipio; David J Malenka Journal: Ann Thorac Surg Date: 2013-10-08 Impact factor: 4.330
Authors: Brian C Cho; Vincent M DeMario; Michael C Grant; Nadia B Hensley; Charles H Brown; Sachidanand Hebbar; Kaushik Mandal; Glenn J Whitman; Steven M Frank Journal: Anesth Analg Date: 2019-02 Impact factor: 5.108
Authors: Mitchell J Kerfeld; Daryl J Kor; Ryan D Frank; Andrew C Hanson; Melissa A Passe; Matthew A Warner Journal: Transfusion Date: 2020-08-13 Impact factor: 3.157
Authors: Jeremiah R Brown; William M Hisey; Emily J Marshall; Donald S Likosky; Elizabeth L Nichols; Allen D Everett; Sara K Pasquali; Marshall L Jacobs; Jeff P Jacobs; Chirag R Parikh Journal: Ann Thorac Surg Date: 2016-06-17 Impact factor: 4.330
Authors: Nadine Shehata; Alan J Forster; Nadine Lawrence; Robin Ducharme; Dean A Fergusson; Michaël Chassé; Deanna M Rothwell; Paul C Hébert; Alan T Tinmouth; Kumanan Wilson Journal: PLoS One Date: 2015-09-17 Impact factor: 3.240
Authors: Quinn R Pack; Aruna Priya; Tara Lagu; Penelope S Pekow; Richard Engelman; David M Kent; Peter K Lindenauer Journal: J Am Heart Assoc Date: 2016-08-31 Impact factor: 5.501
Authors: Rizwan A Manji; Rakesh C Arora; Rohit K Singal; Brett M Hiebert; Alan H Menkis Journal: J Am Heart Assoc Date: 2017-02-07 Impact factor: 5.501
Authors: Vugar Nabi; Selim Ayhan; Selcen Yuksel; Prashant Adhikari; Alba Vila-Casademunt; Ferran Pellise; Francisco Sanchez Perez-Grueso; Ahmet Alanay; Ibrahim Obeid; Frank Kleinstueck; Emre Acaroglu Journal: Asian Spine J Date: 2021-06-17