2018
DOI: 10.1097/tp.0000000000002101
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Causes, Preventability, and Cost of Unplanned Rehospitalizations Within 30 Days of Discharge After Lung Transplantation

Abstract: Although clinicians do not rate the majority of UR after lung transplant as preventable, discharge frailty is associated with UR. Further research should identify whether modification of discharge frailty can reduce UR.

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Cited by 34 publications
(37 citation statements)
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“…However BMI is a poor measure of body composition and provides no information about adipose tissue or muscle mass thus prohibiting additional evaluation of mechanistic links between body composition and outcomes . Physical frailty, a state in which multiple accumulated physiologic deficits results in increased susceptibility to severe manifestations of acute insults, is associated with unplanned 30‐day readmission after lung transplantation, and with an increased risk of death before and after lung transplantation . Prior work has focused on the role of muscle mass in the pathogenesis of frailty; adipose tissue has not been studied in frailty in advanced lung disease.…”
Section: Discussionmentioning
confidence: 99%
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“…However BMI is a poor measure of body composition and provides no information about adipose tissue or muscle mass thus prohibiting additional evaluation of mechanistic links between body composition and outcomes . Physical frailty, a state in which multiple accumulated physiologic deficits results in increased susceptibility to severe manifestations of acute insults, is associated with unplanned 30‐day readmission after lung transplantation, and with an increased risk of death before and after lung transplantation . Prior work has focused on the role of muscle mass in the pathogenesis of frailty; adipose tissue has not been studied in frailty in advanced lung disease.…”
Section: Discussionmentioning
confidence: 99%
“…Physical frailty is characterized by functional limitation and decreased physiologic reserve resulting from multiple physiologic deficits, affects up to 28% of adults with advanced lung disease, and up to 50% of adults with interstitial lung disease . Frailty is associated with decreased exercise capacity in lung transplant candidates, increased risk of unplanned re‐hospitalization within 30 days of lung transplantation, and increased mortality both before and after lung transplantation . Despite consistent associations between frailty and adverse outcomes across populations, little work has focused on identifying risk factors for the development of frailty in advanced lung disease.…”
Section: Introductionmentioning
confidence: 99%
“…Unplanned rehospitalizations after lung transplantation were correlated with worse survival even after adjusting for factors such as sex, age, underlying lung disease, wait time, and length of stay of the initial hospitalization. 3.6 Unplanned readmissions within the first 60 days, 6 3 to 9 months, 8 or 38 months 6 were all associated with decreased survival. Individuals who had more than 2 readmissions during the first year had statistically significant worse 3-year (67% vs 89%) and 5-year (48% vs 80%) survival rates.…”
Section: Outcomes Of Readmissions After Lung Transplantationmentioning
confidence: 98%
“…1 Individuals from a lower volume transplant hospital had a 14% greater risk for hospital readmission as compared to a high-volume center. 1 A study by Courtwright et al 8 used a prospective research methodology to examine incidences, causes, direct cost, and preventability of readmissions within 30 days after initial discharge after lung transplant surgery for 90 patients. Their readmission rates were reported as 33% lower as compared to previously documented statistics.…”
Section: Practice Issues Patterns Of Readmissions After Lung Transplamentioning
confidence: 99%
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