Your browser doesn't support javascript.
loading
Thirty-day readmissions among patients with cardiogenic shock who underwent extracorporeal membrane oxygenation support in the United States: Insights from the nationwide readmissions database.
Nuqali, Abdulelah; Goyal, Amandeep; Acharya, Prakash; Mastoris, Ioannis; Dalia, Tarun; Chan, Wan-Chi; Sauer, Andrew; Haglund, Nicholas; Vidic, Andrija; Abicht, Travis; Danter, Matthew; Gupta, Kamal; Tonna, Joseph E; Shah, Zubair.
Afiliação
  • Nuqali A; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Goyal A; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Acharya P; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Mastoris I; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Dalia T; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Chan WC; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Sauer A; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Haglund N; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Vidic A; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Abicht T; Department of Cardiothoracic Surgery, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Danter M; Department of Cardiothoracic Surgery, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Gupta K; Department of Cardiovascular Medicine, The University of Kansas Health System, University of Kansas School of Medicine, Kansas City, KS, United States of America.
  • Tonna JE; Division of Cardiothoracic Surgery, Department of Surgery, University of Utah Health, Salt Lake City, UT, United States of America.
  • Shah Z; Division of Emergency Medicine, Department of Surgery, University of Utah Health, Salt Lake City, UT, United States of America.
Am Heart J Plus ; 13: 100076, 2022 Jan.
Article em En | MEDLINE | ID: mdl-38560058
ABSTRACT

Background:

There is a paucity of data on readmission rates and predictors of readmissions in cardiogenic shock patients after contemporary Extracorporeal Membrane Oxygenation (ECMO) use.

Methods:

Using the Nationwide Readmission Database, we included adult patients (≥18 years old) hospitalized between January to November 2016-2018 for cardiogenic shock requiring ECMO support. Thirty-day readmission rates, associated variables, and predictors of readmission were assessed.

Results:

A total of 10,723 patients underwent ECMO for cardiogenic shock. After excluding patients who died (n = 5602; 52%) and who underwent LVAD or OHT during index admission (n = 892; 8%), 4229 patients discharged alive were included. Of those, 694 (16.4%) were readmitted within 30 days. The median time to readmission was 10 days. Diabetes mellitus (OR = 1.77; 95% CI 1.32-2.37), chronic liver disease (OR = 1.35; 95% CI 1.03-1.77), and prolonged LOS (≥30 days; OR = 1.38; 95% CI 1.05-1.81) were associated with increased risk of 30-day readmissions while heart failure diagnosis (OR = 0.69; 95% CI 0.50-0.95) and short-term hospital post-discharge care (OR = 0.53; 95% CI 0.28-0.99) conferred a lower risk. Sepsis, followed by congestive heart failure, was the most common readmission diagnoses.

Conclusions:

Patients with CS requiring ECMO support have high mortality and high 30-day readmission rates, with sepsis being the leading cause of readmissions followed by heart failure.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Am Heart J Plus Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Am Heart J Plus Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos