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Research ArticleArticle
Open Access

Unplanned hospital readmissions following congenital heart diseases surgery

Prevalence and predictors

Ahmad S. Azhar
Saudi Medical Journal August 2019, 40 (8) 802-809; DOI: https://doi.org/10.15537/smj.2019.8.24405
Ahmad S. Azhar
From the Pediatric Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
MBBS, FRCPC
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Abstract

Objectives: To estimate the rate of unplanned hospital readmission following surgical repair of congenital heart defects (CHD) and investigate the related causes and risk factors.

Methods: A retrospective chart review of all the patients who underwent surgical repair of CHD at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. The study outcome consisted of any hospital admission during the 12 months following the first reparative surgery. Exclusion criteria included planned admissions. Patients’ demographic and readmission data as well as the perioperative data were collected and analyzed as factors and predictors of unplanned readmission

Results: After the exclusion of the deceased patients, a total of 189 patients were included. The readmission rate was 15.9% during a one-year period following surgery. There was a significant association between the probability of readmission and preoperative mechanical ventilation (MV) (p<0.001), intraoperative complications (p=0.025), prolonged postoperative length of stay (LOS) (p<0.001), early postoperative complication (p=0.007), long postoperative MV stay, and drain tube stay (p=0.011). Significant predictors of unplanned readmission included young age (1-12 months) and low weight at surgery (<5kg), preoperative MV, intraoperative complications, postoperative LOS ≥10 days, pediatric intensive care unit stay, MV stay, drain tube stay, infections, respiratory complication, and feeding problems. Only the preoperative MV and LOS >10 days were the independent risk factors.

Conclusion: Readmission rates were similar to those reported in other studies. Future studies are warranted to investigate suitable actions to alleviate the modifiable risk factors, such as postoperative complications.

Footnotes

  • Disclosure. Authors have no conflict of interests, and the work was not supported or funded by any drug company.

  • Received February 20, 2019.
  • Accepted July 15, 2019.
  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 40 (8)
Saudi Medical Journal
Vol. 40, Issue 8
1 Aug 2019
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Unplanned hospital readmissions following congenital heart diseases surgery
Ahmad S. Azhar
Saudi Medical Journal Aug 2019, 40 (8) 802-809; DOI: 10.15537/smj.2019.8.24405

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Unplanned hospital readmissions following congenital heart diseases surgery
Ahmad S. Azhar
Saudi Medical Journal Aug 2019, 40 (8) 802-809; DOI: 10.15537/smj.2019.8.24405
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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