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Updated: Jan 2, 2026
A Pre-Clinical Porcine Model of Orthotopic Heart Transplantation
Published on: April 27, 2019
Unplanned readmission of patients with heart transplantation in 1 year: A retrospective study
1Asan Medical Center, Seoul, Republic of Korea.
Insights
Unplanned readmission after heart transplantation is common. Hypertension and reduced kidney function are key risk factors, necessitating targeted interventions for better patient outcomes.
Area of Science:
- Cardiology
- Transplantation Medicine
- Nephrology
Background:
- Unplanned readmissions post-heart transplantation significantly impact patient quality of life and long-term survival.
- Identifying factors contributing to readmission is crucial for improving post-transplant care.
Purpose of the Study:
- To determine the readmission rate after heart transplantation.
- To identify patient characteristics associated with unplanned readmissions.
- To pinpoint key risk factors for readmission within one year post-transplant.
Main Methods:
- Retrospective cohort study design.
- Analysis of individual, disease-related, and therapeutic characteristics from electronic medical records.
- Inclusion of 484 adult heart transplant recipients (1992-2016) at a Korean tertiary hospital.
Main Results:
- A total of 204 patients (42.1%) experienced unplanned readmissions.
- Infection and rejection were the most frequent causes of readmission.
- Multivariate analysis identified hypertension and pre-operative estimated glomerular filtration rate (eGFR) as significant risk factors.
Conclusions:
- Early screening and educational programs targeting identified risk factors are essential to reduce readmission rates.
- Nurses should assess risk factors during postoperative and recovery periods to mitigate readmission risks.
- Findings can inform early assessment criteria and the development of discharge nursing education materials.
Aim:
To investigate readmission rate and its association with patient characteristics to identify key risk factors associated with unplanned readmission in 1 year after heart transplantation.
Background:
Unplanned readmission after heart transplantation due to complications affects patients' quality of life and long-term survival rate.
Design:
A retrospective cohort study.
Methods:
Individual, disease-related and therapeutic characteristics were included from electronic medical records. Participants were 484 adult patients who underwent heart transplantation between 1992 - 2016 at a tertiary hospital in Korea.
Results:
A total of 204 patients underwent unplanned readmission. The most frequent causes were infection or rejection. Multivariate analysis revealed hypertension and pre-operative estimated glomerular filtration rate to be risk factors for unplanned readmission.
Conclusion:
Early screening educational programs and interventions based on recommended risk factors are needed to reduce the unplanned readmission rate of heart transplantation patients.
Impact:
Nurses who care for heart-transplanted patients should initially assess risk factors during the postoperative and recovery periods to reduce risk of readmission following surgery. These findings may contribute to early assessment criteria and development of discharge nursing education materials.
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