Unplanned readmission of patients with heart transplantation in 1 year: A retrospective study

Abstract

Aim To investigate readmission rate and its association with patient characteristics to identify key risk factors associated with unplanned readmission in 1 year after heart transplantation. Background Unplanned readmission after heart transplantation due to complications affects patients’ quality of life and long‐term survival rate. Design A retrospective cohort study. Methods Individual, disease‐related and therapeutic characteristics were included from electronic medical records. Participants were 484 adult patients who underwent heart transplantation between 1992 ‐ 2016 at a tertiary hospital in Korea. Results A total of 204 patients underwent unplanned readmission. The most frequent causes were infection or rejection. Multivariate analysis revealed hypertension and pre‐operative estimated glomerular filtration rate to be risk factors for unplanned readmission. Conclusion Early screening educational programs and interventions based on recommended risk factors are needed to reduce the unplanned readmission rate of heart transplantation patients. Impact Nurses who care for heart‐transplanted patients should initially assess risk factors during the postoperative and recovery periods to reduce risk of readmission following surgery. These findings may contribute to early assessment criteria and development of discharge nursing education materials.

Unplanned hospital readmissions after kidney transplantation among patients in Hefei, China: Incidence, causes and risk factors

“…[ 20 ] found that unplanned readmissions within the first year were unavoidable and affected the morbidity and quality of care. Additionally, infection or rejection was the most frequent causes of unplanned readmissions within one year for heart transplant patients [ 21 ]. For KT patients, Naylor et al.…”

Analyzing the influencing factors of unplanned readmission within one year after cadaveric renal transplantation

“…After reviewing the literature, it was found that most scholars, both domestically and internationally, have chosen "within 1 year" as the time frame for conducting research on unplanned readmissions [18][19][20][21][22][23][24][25][26] . Building on this, our study retrospectively analyzed the case data of kidney transplant recipients who underwent cadaveric renal transplantation in the organ transplantation department of a tertiary general hospital in Guizhou Province from April 2017 to December 2022.…”