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Contemporary Predictors and Impact on Survival of Early Readmission after Kidney Transplant: Analysis of the Nationwide Readmission Database

N. Elfadawy, N. Tashtish, S. Al-kindi, D. Hricik, E. Sanchez, N. Sarabu

University hospitals of Cleveland, Cleveland, OH

Meeting: 2019 American Transplant Congress

Abstract number: C66

Keywords: Kidney, Kidney transplantation, Outcome, Post-operative complications

Session Information

Session Name: Poster Session C: Kidney Complications: Late Graft Failure

Session Type: Poster Session

Date: Monday, June 3, 2019

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall C & D

*Purpose: Thirty-day readmissions after kidney transplantation are common and contribute to healthcare utilization and costs. We sought to describe the rates, causes, and predictors for readmission

*Methods: Patients who underwent kidney transplantation (International Classification of Diseases- 10th Revision procedure codes 0TYxxxx) between January and November 2016 who survived the index hospitalization were identified in the Nationwide Readmissions Database. Incidence, predictors, causes, and costs of 30-day readmissions were analyzed. We used logistic regression with forward selection analysis (P<0.05- SPSS v20)

*Results: Out of 9350 patients who underwent kidney transplantation, 9311 (99.5%) survived to hospital discharge and were included in this study. A total of 2417 (26%) were readmitted within 30 days. Out of those who were readmitted, 17 (0.7%) died during the readmission hospitalization. Overall, 797 (33%) of readmissions were graft-related as shown in figure 1A. Predictors of readmission are shown in figure 1B. Median length of stay for readmission was 4 days [2-6] with median hospital charges of 36,678 [19,067-72,786]

*Conclusions: Thirty-day readmission after kidney transplantation is common and mostly secondary to graft complications. Identifying those who are at risk might help reduce readmission and costs

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To cite this abstract in AMA style:

Elfadawy N, Tashtish N, Al-kindi S, Hricik D, Sanchez E, Sarabu N. Contemporary Predictors and Impact on Survival of Early Readmission after Kidney Transplant: Analysis of the Nationwide Readmission Database [abstract]. Am J Transplant. 2019; 19 (suppl 3). https://atcmeetingabstracts.com/abstract/contemporary-predictors-and-impact-on-survival-of-early-readmission-after-kidney-transplant-analysis-of-the-nationwide-readmission-database/. Accessed June 7, 2025.

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