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Predictors and outcomes of unplanned early rehospitalization in the first year following lung transplantation
Author(s) -
Courtwright Andrew M.,
Salomon Stacey,
Fuhlbrigge Anne,
Divo Miguel,
Rosas Ivan O.,
Camp Phillip C.,
Mallidi Hari H.,
Burkett Patrick,
ElChemaly Souheil,
Wolfe David J.,
Goldberg Hilary J.
Publication year - 2016
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.12787
Subject(s) - medicine , lung transplantation , transplantation , intensive care medicine
Unplanned early rehospitalization ( UER ), defined as an unscheduled admission within 30 days of a hospital discharge, is associated with graft loss and recipient mortality in some solid organ transplants but has not been investigated in lung transplant. In this retrospective study, we collected socio‐demographic and clinical factors to determine predictors and outcomes of UER in the first year following lung transplantation. There were 193 patients who underwent lung transplantation and survived to discharge during the 7.9‐year study period. There were 116 (60.1%) patients with at least one UER . Infections (32.8%) and post‐surgical complications (11.8%) were the most common reasons for UER . On multivariate analysis, the strongest predictor of having an UER was discharge to a long‐term acute care facility (odds ratio: 3.01, 95% confidence interval [ CI ] 1.46–6.20; P =.003). Patients with any UER in the first year following transplantation had worse adjusted survival (hazard ratio: 1.89, 95% CI 1.02–3.50; P =.04). It is unclear, however, to what extent UER s reflect preventable outcomes. Further large‐scale, prospective research is needed to identify the extent to which certain types of UER are modifiable and to define patients at high‐risk for preventable UER .