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Hospital Readmissions Among Survivors Six Months After Myocardial Revascularization

Babette Ann Stanton, PhD; C. David Jenkins, PhD; Richard L. Goldstein, MD; Thomas J. Vander Salm, MD; Michael D. Klein, MD; Roberta A. Aucoin, RN
JAMA. 1985;253(24):3568-3573. doi:10.1001/jama.1985.03350480076023.
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One neglected but important measure of early morbidity after coronary artery bypass graft (CABG) operations is rehospitalization. As part of a prospective study of recovery after elective CABG procedures conducted at four academic medical centers, data from all readmissions occurring within the first six postoperative months were collected for 326 patients. A total of 24% of patients had readmissions. The most common categories of readmission discharge diagnoses were cardiac (57%), noncardiac (26%), and surgical sequelae (17%). Factors from the initial hospitalization identified as risk factors for rehospitalization included: length of stay in intensive care unit after surgery, severe noncardiac complications, duration of preoperative cardiac symptoms, intra-aortic balloon insertion, and preoperative resting angina. These findings help to identify a subset of at risk patients for whom more careful surveillance might be beneficial.

(JAMA 1985;253:3568-3573)


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