التفاصيل البيبلوغرافية
| العنوان: |
Risk Factors for Readmission of Heart Transplant Recipients: A Retrospective Case-Control Study. |
| المؤلفون: |
Jang Da El, Jang Yeon Soo |
| المصدر: |
Korean Journal of Adult Nursing; Feb2024, Vol. 36 Issue 1, p52-62, 11p |
| مصطلحات موضوعية: |
HEART transplantation, CHRONIC kidney failure, LENGTH of stay in hospitals, PNEUMONIA, ACADEMIC medical centers, BLOOD urea nitrogen, FEVER, GRAFT rejection, CONFIDENCE intervals, CYTOMEGALOVIRUS diseases, PERICARDIAL effusion, PATIENT readmissions, PATIENTS, CASE-control method, RETROSPECTIVE studies, ACQUISITION of data, DIABETES, FISHER exact test, MANN Whitney U Test, GASTROINTESTINAL diseases, RISK assessment, SURVIVAL rate, HYPONATREMIA, HYPERLIPIDEMIA, COMPARATIVE studies, SURVIVAL analysis (Biometry), SYMPTOMS, MEDICAL records, KAPLAN-Meier estimator, CHI-squared test, HERNIA, HERPES zoster, DESCRIPTIVE statistics, POSTOPERATIVE period, HEMODIALYSIS, DATA analysis software, TRANSPLANTATION of organs, tissues, etc., PROPORTIONAL hazards models, COMORBIDITY |
| مصطلحات جغرافية: |
SOUTH Korea |
| مستخلص: |
The purpose of this study was to identify factors influencing the readmission of heart transplant recipients through survival analysis. Methods: We collected data from heart transplant recipients who were discharged after surgery between November 2005 and September 2020 from the electronic medical records of Y University Hospital in Seoul. The Kaplan-Meier estimation was utilized to calculate the survival rate, and Cox's proportional hazards model was employed to determine the factors influencing readmission within 1 year. Results: Out of 150 heart transplant recipients, 81 (54.0%) were readmitted within one year. The median time to readmission was 231 days. An increased duration of postoperative days was associated with a higher risk of readmission (p=.016). Groups with abnormal sodium levels (p<.001), those requiring postoperative hemodialysis (p=.013), patients with chronic kidney disease (p=.002), dyslipidemia (p=.040), or diabetes mellitus (p=.045) also faced higher readmission risks. In the final model, sodium levels (hazard ratio [HR]=2.31, p<.001) and chronic kidney disease (HR=1.67, p=.045) were significant risk factors for readmission (x2=31.90, p<.001). Conclusion: Interventions to improve kidney function and a multidisciplinary approach are needed to reduce readmission of heart transplant recipients. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
