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Readmission within 30 Days of Pediatric Cardiac Surgery: Incidence, Risk Factors and Resource Utilization

Hanke, Samuel P, M.D.
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384869980

Abstract Details

2013, MS, University of Cincinnati, Medicine: Clinical and Translational Research.
Background- Hospital readmissions have significant burden and are now linked to reimbursement in adult patients with cardiac disease. Significantly less is known about readmissions in the pediatric cardiac surgical population. The purpose of this study was to identify the rate and incurred hospital charges of readmission within 30 days of discharge after pediatric cardiac surgery and to determine the risk factors for readmission and increased hospital charges. Methods and Results- Patients 18 years of age and younger who underwent cardiac surgery between January 1, 2006 and September 30, 2011 were identified by procedural codes within the Pediatric Health Information System (PHIS) database. Readmission was defined as any admission within 30 days of discharge. Patient demographics and factors from the index hospitalization were analyzed: Of 53,105 cardiac surgical patients discharged from 41 hospitals, 10,667 (20.1%) had at least one readmission. Total cumulative charges were $498,539,570. Median time from discharge to first readmission was 8 (IQR 4, 15) days. Median readmission duration was 1 (IQR 1, 4) day. Notable independent risk factors for readmission and increased charges included: higher surgical severity, longer index hospitalization length of stay and the presence of select chronic medical conditions. Conclusions- Readmissions following pediatric cardiac surgery are frequent, have independent risk factors and are associated with high cumulative resource utilization. With the goals of improving patient outcomes and lower health care expenditure, these findings support targeting readmission as a quality metric after pediatric cardiac surgery.
Erin Haynes, Ph.D. M0 (Committee Chair)
Catherine Dent Krawczeski, M.D. (Committee Member)
James Cnota, M.D. (Committee Member)
20 p.
Surgery
Readmission; Pediatrics; Congenital Heart Surgery; Quality

Recommended Citations

Citations

  • Hanke, M.D., S. P. (2013). Readmission within 30 Days of Pediatric Cardiac Surgery: Incidence, Risk Factors and Resource Utilization [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384869980

    APA Style (7th edition)

  • Hanke, M.D., Samuel. Readmission within 30 Days of Pediatric Cardiac Surgery: Incidence, Risk Factors and Resource Utilization. 2013. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384869980.

    MLA Style (8th edition)

  • Hanke, M.D., Samuel. "Readmission within 30 Days of Pediatric Cardiac Surgery: Incidence, Risk Factors and Resource Utilization." Master's thesis, University of Cincinnati, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1384869980

    Chicago Manual of Style (17th edition)

ucin1384869980
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© 2013, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.