Factors Associated With Readmission Of Patients With Congenital Heart Disease In A Swiss University Hospital

Details

Ressource 1Download: BIB_0C6294AC90B8.P001.pdf (350.65 [Ko])
State: Public
Version: After imprimatur
Serval ID
serval:BIB_0C6294AC90B8
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
Factors Associated With Readmission Of Patients With Congenital Heart Disease In A Swiss University Hospital
Author(s)
CHAVE M.
Director(s)
MARQUES VIDAL P.-M.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2015
Language
english
Number of pages
26
Abstract
ABSTRACT
Background: Congenital heart defects (CHD) are a common congenital anomaly that leads to extensive use of healthcare resources, yet there is little information available on the rates of readmission or the factors that predispose to readmission within 30 days of discharge. We sought to evaluate!the rate of readmission among patients with CHD and to analyse the factors associated with! readmission.
Methods: Retrospective study using data concerning all patients with an ICD=10 code from Q20 to Q25 hospitalised between 2002 and 2014 at the University Hospital of Lausanne. Readmission and association with socio-clinical factors were evaluated for all non-humanitarian patients under the age of 18.
Results: 996 patients younger than 18 were hospitalised for CHD, 332 undergoing surgery. 96 patients (9.6%) were readmitted within 30 days of discharge, 83 (86.5%) cardiac causes. Median time to readmission was 10 days (interquartile range: 6 - 20) and median length of readmission was 12 days (interquartile range: 6 - 20). Foreign nationality, greater distance to hospital, and length of index hospitalisation < 14 days predisposed to readmission. Patients who underwent surgery were less likely to be readmitted (8.7%).
Conclusion: Readmissions were frequent, almost 1 in 10 patients, and associated with several socio- clinical factors. Providing patients who live far from hospital with specialized care closer to home may help reduce the rate of readmission.
Keywords
congenital heart disease, readmission, Switzerland
Create date
01/09/2016 8:12
Last modification date
20/08/2019 12:33
Usage data