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Factors associated with unplanned readmissions following cardiac surgery

L L Fasken1, D D Wipke-Tevis, K K Sagehorn

  • 1Jasper County Health Department, Carthage, MO, USA.

Progress in Cardiovascular Nursing
|July 24, 2001
PubMed

Insights

Cardiac surgery patients face unplanned readmissions due to complications. Longer hospital stays increase readmission risk, while gender and race impact recovery. Targeted interventions are needed for high-risk groups.

Area of Science:

  • Cardiology
  • Healthcare Management
  • Nursing Research

Background:

  • Cardiac surgery patients are susceptible to unplanned hospital readmissions.
  • Post-discharge complications significantly contribute to readmission rates.

Purpose of the Study:

  • To critically review literature identifying predictors of unplanned readmissions in cardiac surgery patients.
  • To inform nursing practice regarding discharge planning and care coordination.

Main Methods:

  • A literature review was conducted from 1989 to 1999.
  • Databases searched included MEDLINE and CINAHL.
  • Keywords: cardiac surgery, coronary artery bypass surgery, recovery, readmission.

Main Results:

  • Gender and race were identified as factors influencing patient recovery post-cardiac surgery.
  • Patients with longer lengths of stay due to complications faced a higher risk of readmission.
  • No evidence suggested that a decreased length of stay increased readmission rates.

Conclusions:

  • Improved care coordination and discharge planning are crucial for high-risk cardiac surgery patients.
  • Further research is necessary to develop targeted interventions for women, African Americans, and other racial groups to reduce readmissions.

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