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Thirty-day readmission rates and associated risk factors after coronary artery bypass grafting

Mohammad A Alghafees1, Noura A Alsubaie1, Linah K Alsadoon1

  • 1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, KSA.

Journal of Taibah University Medical Sciences
|September 28, 2020
PubMed

Insights

Coronary artery bypass grafting (CABG) readmission rates are 16.1%. Key risk factors include diabetes mellitus, asthma, hyperlipidemia, and certain medications like amiodarone, statins, and amlodipine.

Area of Science:

  • Cardiovascular Surgery
  • Health Services Research
  • Clinical Outcomes

Background:

  • Coronary artery bypass grafting (CABG) is a common cardiac surgery.
  • High 30-day readmission rates post-CABG increase healthcare costs.
  • Identifying readmission risk factors is crucial for improving patient outcomes.

Purpose of the Study:

  • To determine the 30-day readmission rate following CABG.
  • To identify significant risk factors associated with 30-day readmissions in CABG patients.

Main Methods:

  • Retrospective cohort study at King Abdulaziz Medical City.
  • Included adult patients who underwent CABG between January 2016 and January 2019.
  • Utilized logistic regression to analyze readmission risk factors.

Main Results:

  • The overall 30-day readmission rate was 16.1% (86 out of 534 patients).
  • Significant risk factors for readmission included diabetes mellitus (P=.002), asthma (P<.001), and hyperlipidemia (P=.04).
  • Medications such as amiodarone (P=.04), statins (P=.04), and amlodipine (P=.006) were also associated with readmission.

Conclusions:

  • The 30-day readmission rate after CABG is 16.1%.
  • Diabetes, asthma, hyperlipidemia, and use of amiodarone, statins, and amlodipine are linked to readmission.
  • Further research is needed to develop strategies for reducing CABG readmissions.
Abstract

Keywords:
Cardiac surgeryCoronary artery bypass graftingKSAPrevalenceReadmissions

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