TY - JOUR
T1 - “Early” and “Late” Hospital readmissions in the first year after kidney transplant at a single center
AU - Nguyen, Michelle C.
AU - Avila, Christina L.
AU - Brock, Guy N.
AU - Benedict, Jason A.
AU - James, Iyore
AU - El-Hinnawi, Ashraf
AU - Rajab, Amer
AU - Elkhammas, Elmahdi
AU - Pelletier, Ronald P.
AU - Henry, Mitchell
AU - Bumgardner, Ginny L.
N1 - Funding Information:
GNB was partially supported by National Institutes of Health grant UL1TR002733. The authors thank Jeffrey Sneddon and Desmond Wong for assistance with EMR data retrieval.
Publisher Copyright:
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
PY - 2020/3/1
Y1 - 2020/3/1
N2 - 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.
AB - 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.
KW - graft survival
KW - hospital readmission
KW - kidney transplant
KW - length of stay
KW - patient survival
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U2 - 10.1111/ctr.13822
DO - 10.1111/ctr.13822
M3 - Article
C2 - 32037573
AN - SCOPUS:85081024955
SN - 0902-0063
VL - 34
JO - Clinical Transplantation
JF - Clinical Transplantation
IS - 3
M1 - e13822
ER -