Identifying Predictors for 30-Day Readmission in Renal Transplant Recipients
1Surgical Nursing, UW Hospital & Clinics, Madison, WI
2Department of Medicine, UW School of Medicine & Public Health, Madison, WI
3Business Planning & Analysis Department, UW Hospital & Clinics, Madison, WI
4Department of Surgery, UW School of Medicine & Public Health, Madison, WI.
Meeting: 2015 American Transplant Congress
Abstract number: C58
Keywords: Kidney, Kidney transplantation
Session Information
Session Name: Poster Session C: Hospitalization/Readmission
Session Type: Poster Session
Date: Monday, May 4, 2015
Session Time: 5:30pm-6:30pm
Presentation Time: 5:30pm-6:30pm
Location: Exhibit Hall E
Purpose: The aim of this study is to determine risk factors associated with 30-day hospital readmissions in renal transplant recipients.
Methods: This single center longitudinal study examines risk factors for 30-day readmissions among 841 initial kidney transplant or post transplant patients hospital admissions from August 2013-July 2014 compared to the same cohort without the examined risk factor.
Results: A total of 166 (19.7%) patients were readmitted within 30 days of discharge. Readmission rates did not differ by race, gender, or marital status. Using a Z-test, diabetes and chronic obstructive pulmonary disease (COPD) were significantly associated with greater incidence of readmission [Table 1]. Discharges with home health (HH) and discharges to a skilled nursing facility (SNF) were associated with greater incidence of readmission [Table 2]. Patients discharged to home had a lower admission rate (16.4%, p <0.01). Patients who had support at home (married or partner) and HH were no more likely to be readmitted than those with HH and no support at home (33% vs 25%, p>0.1 & p>0.1, respectively).
| Variable | Variable Readmit Rate | Control | Control Readmit Rate | p-value |
| Diabetes | 24.5% | No diabetes | 16.9% | <0.01 |
| CKD | 18.1% | No CKD | 22.1% | >0.1 |
| CAD | 22.3% | No CAD | 25.3% | >0.1 |
| COPD | 27.1% | No COPD | 18.9% | <0.05 |
| Hypertension | 20.3% | No hypertension | 17.3% | >0.1 |
| PVD | 22.2% | No PVD | 19.7% | >0.1 |
| Variable | Variable Readmit Rate | Control | Control Readmit Rate | p-value |
| Home | 16.4% | Not Home | 30.0% | <0.01 |
| HH | 28.6% | Not HH | 17.9% | <0.01 |
| SNF | 38.1% | Not SNF | 18.7% | <0.01 |
Conclusion: Patients with medical diagnoses of diabetes and COPD are more likely to be readmitted within 30 days. In our series patients discharged with HH or to a SNF are more likely to be readmitted. Patients who are discharged to a SNF or with HH and have diabetes or COPD may represent a population with medical/social complexity where opportunities for future interventions may be effective.
To cite this abstract in AMA style:
Weber J, Astor B, Cray D, Djamali A, Kaufman D, Mandelbrot D, Parajuli S, Schanning M, Snyder E, Mohamed M. Identifying Predictors for 30-Day Readmission in Renal Transplant Recipients [abstract]. Am J Transplant. 2015; 15 (suppl 3). https://atcmeetingabstracts.com/abstract/identifying-predictors-for-30-day-readmission-in-renal-transplant-recipients/. Accessed November 21, 2024.« Back to 2015 American Transplant Congress