Unplanned Readmission Within 1 Year After Heart Transplantation in Taiwan

Tsao, C.-I.; Chou, Nai‐Kuan; Chi, Nai‐Hsin; Yu, Hsi‐Yu; Chen, Y.-S.; Wang, C.-H.; Ko, W.J.; Chen, S.-C.; Wang, S.-S.

doi:10.1016/j.transproceed.2010.02.053

Cited by 15 publications

(11 citation statements)

References 5 publications

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“…Readmissions due to infection were caused by CMV, viral, bacterial and fungal infections. These findings are consistent with previous studies where patients who received a heart transplant were readmitted because of infection, rejection and cardiac‐related problems (Huang et al, ; Tsao et al, ). Moreover, tumour, rejection, CAV, liver failure and kidney failure were major factors previously reported to be associated with death after heart transplantation (Fuchs et al, ).…”

Section: Discussionsupporting

confidence: 92%

“…Hemodialysis before and after surgery, cold ischemic time and postoperatvie ICU admission revealed no significant differences between groups (Table 4). (Huang et al, 2008;Tsao et al, 2010).…”

Section: Therapeutic Characteristics According To Unplanned Readmismentioning

confidence: 99%

“…Several earlier studies have examined factors associated with readmission in 1 year after transplantation. Allograft loss, infection, rejection and cardiac allograft vasculopathy (CAV) were identified as risk factors for complications and readmission after heart transplantation (Huang, Wang, Tai, & Lou, ; Tsao et al, ; Weber et al, ). In liver transplant patients, biliary complications, postoperative complications, rejection, malignant liver neoplasm and infection were found to be risk factors for readmission (Chen et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Unplanned readmission of patients with heart transplantation in 1 year: A retrospective study

Kim

2019

Journal of Advanced Nursing

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Aim To investigate readmission rate and its association with patient characteristics to identify key risk factors associated with unplanned readmission in 1 year after heart transplantation. Background Unplanned readmission after heart transplantation due to complications affects patients’ quality of life and long‐term survival rate. Design A retrospective cohort study. Methods Individual, disease‐related and therapeutic characteristics were included from electronic medical records. Participants were 484 adult patients who underwent heart transplantation between 1992 ‐ 2016 at a tertiary hospital in Korea. Results A total of 204 patients underwent unplanned readmission. The most frequent causes were infection or rejection. Multivariate analysis revealed hypertension and pre‐operative estimated glomerular filtration rate to be risk factors for unplanned readmission. Conclusion Early screening educational programs and interventions based on recommended risk factors are needed to reduce the unplanned readmission rate of heart transplantation patients. Impact Nurses who care for heart‐transplanted patients should initially assess risk factors during the postoperative and recovery periods to reduce risk of readmission following surgery. These findings may contribute to early assessment criteria and development of discharge nursing education materials.

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Section: Discussionsupporting

confidence: 92%

Section: Therapeutic Characteristics According To Unplanned Readmismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unplanned readmission of patients with heart transplantation in 1 year: A retrospective study

Kim

2019

Journal of Advanced Nursing

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“…Rehospitalization has been well studied in adult solid organ transplant recipients, but less is known about this phenomenon in the pediatric Htx population . In 2010, Tsao et al.…”

Section: Introductionmentioning

confidence: 99%

“…In 2010, Tsao et al. reported a re‐admission rate of 19%‐20%/year in adult Htx recipients, with 63% of patients having at least one and 24% having at least three rehospitalizations over a 3‐year period . In 2002, Donovan et al.…”

Section: Introductionmentioning

confidence: 99%

Rehospitalization after pediatric heart transplantation: Incidence, indications, and outcomes

Hollander

McElhinney²,

Almond

et al. 2016

Pediatric Transplantation

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We report the patterns of rehospitalization after pediatric heart transplant (Htx) at a single center. Retrospective review of 107 consecutive pediatric Htx recipients between January 22, 2007, and August 28, 2014, who survived their initial transplant hospitalization. The frequency, duration, and indications for all hospitalizations between transplant hospitalization discharge and September 30, 2015, were analyzed. A total of 444 hospitalization episodes occurred in 90 of 107 (84%) patients. The median time to first rehospitalization was 59.5 (range 1-1526) days, and the median length of stay was 2.5 (range 0-81) days. There were an average of two hospitalizations per patient in the first year following transplant hospitalization, declining to about 0.8 per patient per year starting at 3 years post-transplant. Admissions for viral infections were most common, occurring in 93 of 386 (24%), followed by rule out sepsis in 61 of 386 (16%). Admissions for suspected or confirmed rejection were less frequent, accounting for 41 of 386 (11%) and 31 of 386 (8%) of all admissions, respectively. Survival to discharge after rehospitalization was 97%. Hospitalization is common after pediatric Htx, particularly in the first post-transplant year, with the most frequent indications for hospitalization being viral illness and rule out sepsis. After the first post-transplant year, the risk for readmission falls significantly but remains constant for several years.

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Miscellaneous Adverse Events and Causes of Death

Barten,

Reichenspurner

2023

Textbook of Transplantation and Mechanical Support for End‐Stage Heart and Lung Disease

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Unplanned Readmission Within 1 Year After Heart Transplantation in Taiwan

Cited by 15 publications

References 5 publications

Unplanned readmission of patients with heart transplantation in 1 year: A retrospective study

Unplanned readmission of patients with heart transplantation in 1 year: A retrospective study

Rehospitalization after pediatric heart transplantation: Incidence, indications, and outcomes

Miscellaneous Adverse Events and Causes of Death

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