Living alone predicts 30-day hospital readmission after coronary artery bypass graft surgery

Area of Science:

• Cardiology
• Psychosocial Health
• Health Services Research

Background:

• Previous research identified medical factors and disease severity as predictors of early hospital readmission after coronary artery bypass graft surgery (CABGS).
• Limited investigation into psychosocial predictors of readmission post-CABGS.
• This study aimed to identify medical, sociodemographic, and psychosocial predictors of 30-day hospital readmission.

Purpose of the Study:

• To investigate predictors of 30-day hospital readmission following coronary artery bypass graft surgery (CABGS).
• To determine the influence of medical, sociodemographic, and psychosocial factors on early readmission.
• To identify specific patient groups at higher risk for readmission after CABGS.

Main Methods:

• A cohort of 181 patients awaiting CABGS completed self-report questionnaires pre-surgery and at 2 and 6 months post-surgery.
• Data collected included medical history, sociodemographic information, and psychosocial factors like anxiety.
• Statistical analyses, including logistic regression, were used to identify predictors of 30-day readmission.

Main Results:

• 14.4% of patients (26 out of 181) were readmitted within 30 days.
• Readmitted patients were older, more likely to be unmarried, live alone, have a history of hypertension, and report higher pre-surgery anxiety.
• Logistic regression revealed that living alone was the sole significant unique predictor of 30-day readmission (OR=3.42, P=0.008).

Conclusions:

• Living alone is the most significant risk factor for early hospital readmission after CABGS.
• Patients living alone face over three times the risk of readmission compared to those living with others.
• Targeted interventions and support systems for patients living alone are recommended to reduce readmission rates.