Investigation of medication compliance after surgery and the possibility of readmission in patients after coronary artery graft surgery

Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_EJCMPR-2-3_004

تاریخ نمایه سازی: 10 تیر 1402

Abstract:

Introduction: In adults, readmission within ۳۰ days of heart surgery is a major factor in hospital costs for heart surgery, but current data on risk factors for readmission are scarce. Therefore, we sought to identify performance-adjusted risk factors for coronary artery bypass graft (CABG) re-admissions.Material and Methods: The records of patients who underwent CABG at our institution between ۲۰۱۲-۱۴ were analyzed for contrast with prospectively recorded case studies, including New York Cardiac Surgery Reporting System (CSRS) events, prescriptions, and testing costs.Results: Read rate ۱۳% ; The CSRS estimated value is ۸.۷% (observed/predicted ratio = ۱.۵). The median time from CABG discharge to readmission was ۶ days (interquartile range [IQ] ۳ to ۱۳ days). The median length of hospital stay was ۴ days (IQ ۲ to ۷ days). The most common causes of readmission were heart disease (n = ۴۰ [۲۵% of readmissions]) and pneumonia (n = ۳۶ [۲۳%]), including pleural effusions. In addition to CSRS status, serum creatinine excretion alone was not associated with increased readings (p=۰.۵) OR] ۵.۷, %۹۵ GA ۱.۷ ila ۱۸.۷).Conclusion: Readmission for coronary artery bypass surgery remains an ongoing medical challenge. Given that readmissions usually occur within the first week after discharge and are usually short-term, attention is paid to follow-up care and risk of readmission (compare, for example, abnormal serum creatinine or abnormal reactivity) and/or multiple causes of readmission. may reduce readmission after CABG (eg, pleural effusion).

Authors

Marjan Dehdilan

Department of Anesthesiology, Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Khosrow Hashemzadeh

Department of Heart Surgery, Tabriz University of Medical Sciences, Tabriz, Iran