BACKGROUND: Hospital readmission (HR) after surgery is considered a quality metric. METHODS: Data on 2371 first-time adult kidney transplant (KT) recipients were collected to analyze the "early" (≤30 days) and "late" (31-365 days) HR patterns after KT at a single center over a 12-year time span (2002-2013). RESULTS: 30-day, 90-day, and 1-year HR were 31%, 41%, and 53%, respectively. Risk factors for HR included age >50, female sex, black race, BMI >30, transplant LOS >5 days, and pre-transplant time on dialysis >765 days. Indications for early (n = 749) and late (n = 508) HR were similar. Early HR (OR: 3.80, P = .007) and black race (OR: 2.38, P = .009) were associated with higher odds of 1-year graft failure while frequency (1-2, 3-4, 5+) of HR (ORs: 4.68, 8.36, 9.44, P < .001) and age > 50 (OR: 2.11, P = .007) were associated with higher odds of 1-year mortality. Transplant LOS > 5 days increased both odds of 1-year graft failure (OR: 3.51, P = .001) and mortality (OR: 2.05, P = .006). One-year graft and recipient survival were 96.7% and 94.8%, respectively. CONCLUSIONS: Hospital readmission was associated with reduced graft and patient survival; however, despite a relatively high and consistent HR rate after KT, overall 1-year graft and patient survival was high.
BACKGROUND: Hospital readmission (HR) after surgery is considered a quality metric. METHODS: Data on 2371 first-time adult kidney transplant (KT) recipients were collected to analyze the "early" (≤30 days) and "late" (31-365 days) HR patterns after KT at a single center over a 12-year time span (2002-2013). RESULTS: 30-day, 90-day, and 1-year HR were 31%, 41%, and 53%, respectively. Risk factors for HR included age >50, female sex, black race, BMI >30, transplant LOS >5 days, and pre-transplant time on dialysis >765 days. Indications for early (n = 749) and late (n = 508) HR were similar. Early HR (OR: 3.80, P = .007) and black race (OR: 2.38, P = .009) were associated with higher odds of 1-year graft failure while frequency (1-2, 3-4, 5+) of HR (ORs: 4.68, 8.36, 9.44, P < .001) and age > 50 (OR: 2.11, P = .007) were associated with higher odds of 1-year mortality. Transplant LOS > 5 days increased both odds of 1-year graft failure (OR: 3.51, P = .001) and mortality (OR: 2.05, P = .006). One-year graft and recipient survival were 96.7% and 94.8%, respectively. CONCLUSIONS: Hospital readmission was associated with reduced graft and patient survival; however, despite a relatively high and consistent HR rate after KT, overall 1-year graft and patient survival was high.
Authors: K Boubaker; A Harzallah; M Ounissi; M Becha; T Guergueh; H Hedri; H Kaaroud; E Abderrahim; T Ben Abdellah; A Kheder Journal: Transplant Proc Date: 2011-06 Impact factor: 1.066
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Authors: M Harhay; E Lin; A Pai; M O Harhay; A Huverserian; A Mussell; P Abt; M Levine; R Bloom; J A Shea; A B Troxel; P P Reese Journal: Am J Transplant Date: 2013-10-28 Impact factor: 8.086
Authors: Julien Hogan; Michael D Arenson; Sandesh M Adhikary; Kevin Li; Xingyu Zhang; Rebecca Zhang; Jeffrey N Valdez; Raymond J Lynch; Jimeng Sun; Andrew B Adams; Rachel E Patzer Journal: Transplant Direct Date: 2019-07-29
Authors: Meera N Harhay; Alexander S Hill; Wei Wang; Orit Even-Shoshan; Adam S Mussell; Roy D Bloom; Harold I Feldman; Jason H Karlawish; Jeffrey H Silber; Peter P Reese Journal: PLoS One Date: 2016-06-03 Impact factor: 3.240
Authors: Kyla L Naylor; Gregory A Knoll; Justin Slater; Eric McArthur; Amit X Garg; Ngan N Lam; Britney Le; Alvin H Li; Megan K McCallum; Marlee Vinegar; S Joseph Kim Journal: Can J Kidney Health Dis Date: 2021-11-29