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“Early” and “Late” Hospital readmissions in the first year after kidney transplant at a single center
Author(s) -
Nguyen Michelle C.,
Avila Christina L.,
Brock Guy N.,
Benedict Jason A.,
James Iyore,
ElHinnawi Ashraf,
Rajab Amer,
Elkhammas Elmahdi,
Pelletier Ronald P.,
Henry Mitchell,
Bumgardner Ginny L.
Publication year - 2020
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.13822
Subject(s) - medicine , dialysis , odds ratio , single center , surgery , transplantation , kidney transplantation
Background Hospital readmission (HR) after surgery is considered a quality metric. Methods Data on 2371 first‐time adult kidney transplant (KT) recipients were collected to analyze the “early” (≤30 days) and “late” (31‐365 days) HR patterns after KT at a single center over a 12‐year time span (2002‐2013). Results 30‐day, 90‐day, and 1‐year HR were 31%, 41%, and 53%, respectively. Risk factors for HR included age >50, female sex, black race, BMI >30, transplant LOS >5 days, and pre‐transplant time on dialysis >765 days. Indications for early (n = 749) and late (n = 508) HR were similar. Early HR (OR: 3.80, P = .007) and black race (OR: 2.38, P = .009) were associated with higher odds of 1‐year graft failure while frequency (1‐2, 3‐4, 5+) of HR (ORs: 4.68, 8.36, 9.44, P < .001) and age > 50 (OR: 2.11, P = .007) were associated with higher odds of 1‐year mortality. Transplant LOS > 5 days increased both odds of 1‐year graft failure (OR: 3.51, P = .001) and mortality (OR: 2.05, P = .006). One‐year graft and recipient survival were 96.7% and 94.8%, respectively. Conclusions Hospital readmission was associated with reduced graft and patient survival; however, despite a relatively high and consistent HR rate after KT, overall 1‐year graft and patient survival was high.