Preoperative Scale to Determine All-Cause Readmission After Coronary Artery Bypass Operations

Abstract

The readmission after CABG scale reliably predicts a patient's 30-day CABG readmission risk. By identifying patients at high-risk for readmission before their procedure, risk reduction strategies can be implemented to reduce readmissions and healthcare expenditures.

Patient and hospital factors associated with 30-day readmissions after coronary artery bypass graft (CABG) surgery: a systematic review and meta-analysis

“…Characteristics of all 53 studies [ 7 , 8 , 11 – 14 , 20 – 66 ] included in this systematic review are given in Table 1 . Forty studies [ 7 , 8 , 11 – 14 , 20 – 26 , 28 – 37 , 39 – 44 , 46 – 49 , 52 , 54 , 58 , 59 , 62 , 64 , 65 ] (75% of all included studies) were from the USA.…”

“…Characteristics of all 53 studies [ 7 , 8 , 11 – 14 , 20 – 66 ] included in this systematic review are given in Table 1 . Forty studies [ 7 , 8 , 11 – 14 , 20 – 26 , 28 – 37 , 39 – 44 , 46 – 49 , 52 , 54 , 58 , 59 , 62 , 64 , 65 ] (75% of all included studies) were from the USA. Most studies [ 7 , 8 , 11 – 14 , 20 , 21 , 25 , 27 , 32 , 33 , 35 – 37 , 39 – 42 , 44 , 46 – 49 , 52 , 58 , 59 , 61 , 63 , 65 , 66 ] ( n = 31) were based on administrative data aggregated across multiple sites and 22 studies [ 22 – 24 , 26 , 28 – 31 , 34 , 38 , 43 , 45 , 50 , 51 , 53 – 57 , 60 , 62 , 64 ] used medical records from either a single center or multiple...…”

“…For achieving the goal of preventing post-CABG readmissions, effective and well-coordinated patient care interventions (such as telemonitoring, cardiac rehabilitation, patient education, and follow-up appointments) [ 11 ] are needed. Identifying the underlying causes of readmission can highlight which care processes should be the focus of attention and effort, whereas examining the patient-level factors associated with readmission can help to identify patient groups to target for improved inpatient care and post-procedure follow-up.…”

A Risk Prediction Model of Readmission after coronary artery bypass grafting (CABG) in China

“…There are also studies showed that readmission after cardiac surgery are related to the additional cost of surgery [17][18] . In 2017, Aleksander and other scholars used American patient data to establish a RAC risk assessment scale, which included 6 items: age, gender, race, insurance, type of admission, and complications [8] . This scale showed that patients over 80 years of age have a higher risk of readmission, however, in China, only a few readmission patients are older than 80, and the high risk of readmission is mainly for patients over 65 years old.…”

“…In recent years, there have been many studies on risk factors related to CABG readmission [4][5][6][7] , however, few studies have established a complete model to predict the risk of CABG readmission [8][9][10] . At present, the risk prediction models of readmission after CABG are mainly from western countries such as the United States and Canada, but previous studies have shown that these models cannot be well applied to Chinese and the other Asian populations [11][12] .…”