کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2650370 | 1139375 | 2016 | 5 صفحه PDF | دانلود رایگان |
ObjectiveTo determine if preoperative ICD Risk Score for Adverse Outcome (ICD-RSAO) would predict need for hospital 30-day readmission.BackgroundPre-analysis of National Cardiovascular Data Registry ICD database identified preoperative predictors of adverse outcomes associated with ICD implantation.MethodsLogistic regression, descriptive statistics and Chi-square were used to examine the relationship between ICD-RSAO and 30-day readmission after ICD implantation.ResultsBUN >30, history of lung disease, NYHA Class IV and device implant during inpatient stay were predicative of 30-day readmission (P = 0.001; 95% CI = 0.58–0.79). Patients with a combination of two or more of four variables were more likely to be readmitted (Hosmer–Lemeshow (χ2 = 3.44, P = 0.49), c-statistic = 0.71, and Nagelkerke R2 = 0.15).ConclusionPatients who have elevated BUN's, NYHA Class IV, chronic lung disease and ICD implantation during a concomitant hospital admission are at increased risk for readmission and need early follow up.
Journal: Heart & Lung: The Journal of Acute and Critical Care - Volume 45, Issue 1, January–February 2016, Pages 29–33