Abstract | OBJECTIVE: To determine the clinical factors before, and in association with, coronary artery bypass grafting (CABG) that increase the risk of readmission to hospital in the first two years after surgery. PATIENTS: All patients in western Sweden who had CABG without simultaneous valve surgery between 1 June 1988 and 1 June 1991. METHODS: All patients who were readmitted to hospital were evaluated by postal inquiry and hospital records. RESULTS: A total of 2121 patients were operated on, of whom 2037 were discharged from hospital. Information regarding readmission was missing in four patients, leaving 2033 patients; 44% were readmitted to hospital. The most common reasons for readmission were angina pectoris and congestive heart failure. There were 12 independent significant predictors for readmission: clinical history (a previous history of either congestive heart failure or myocardial infarction, or CABG); acute operation; postoperative complications (time in intensive care unit greater than two days, neurological complications); clinical findings four to seven days after the operation ( arrhythmia, systolic murmur equivalent to mitral regurgitation); medication four to seven days after the operation ( antidiabetics, diuretics for heart failure, other antiarrhythmics (other than beta blockers, calcium antagonists, and digitalis), and lack of treatment with aspirin). CONCLUSION: 44% of patients were readmitted to hospital two years after CABG. The most common reasons for readmission were angina pectoris and congestive heart failure. Four clinical markers predicted readmission: clinical history; acute operation status; postoperative complications; and clinical findings and medication four to seven days after operation.
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Authors | J Herlitz, P Albertsson, G Brandrup-Wognsen, H Emanuelsson, M Haglid, M Hartford, A Hjalmarson, B W Karlson, T Karlsson, W Sandén |
Journal | Heart (British Cardiac Society)
(Heart)
Vol. 77
Issue 5
Pg. 437-42
(May 1997)
ISSN: 1355-6037 [Print] England |
PMID | 9196414
(Publication Type: Journal Article)
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Chemical References |
- Adrenergic beta-Antagonists
- Anti-Arrhythmia Agents
- Diuretics
- Aspirin
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Topics |
- Adrenergic beta-Antagonists
(therapeutic use)
- Aged
- Angina Pectoris
(complications)
- Anti-Arrhythmia Agents
(therapeutic use)
- Aspirin
(therapeutic use)
- Coronary Artery Bypass
- Coronary Disease
(complications, surgery)
- Diuretics
(therapeutic use)
- Emergencies
- Female
- Heart Failure
(complications)
- Humans
- Male
- Patient Readmission
(statistics & numerical data)
- Postoperative Complications
- Postoperative Period
- Risk Factors
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