Contemporary Predictors and Impact on Survival of Early Readmission after Kidney Transplant: Analysis of the Nationwide Readmission Database
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
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 November 21, 2024.« Back to 2019 American Transplant Congress