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Impact of Center Procedural Volume on Mortality and Readmission Rates Following Pericardiectomy in the United States.
Pajjuru, Venkata S; Warren, Blair M; Daoud, Hussein; Radaideh, Qais; Walters, Ryan W; Alla, Venkata M.
Afiliación
  • Pajjuru VS; Division of Cardiology, Department of Medicine, Creighton University School of Medicine, Omaha, Nebraska. Electronic address: VenkatPajjuru@creighton.edu.
  • Warren BM; Division of Cardiology, Department of Medicine, Creighton University School of Medicine, Omaha, Nebraska.
  • Daoud H; Division of Cardiology, Department of Medicine, Creighton University School of Medicine, Omaha, Nebraska.
  • Radaideh Q; Division of Cardiology, Department of Medicine, Creighton University School of Medicine, Omaha, Nebraska.
  • Walters RW; Department of Clinical Research and Public Health, Creighton University School of Medicine, Omaha, Nebraska.
  • Alla VM; Division of Cardiology, Department of Medicine, Creighton University School of Medicine, Omaha, Nebraska.
Am J Cardiol ; 205: 298-301, 2023 10 15.
Article en En | MEDLINE | ID: mdl-37633064
Our study aimed to explore the national trends in the rates of perioperative complications, in-hospital mortality, and readmissions after pericardiectomy and the impact of center volume on these outcomes. Using the Nationwide Readmission Database, we identified patients who underwent isolated pericardiectomy from 2010 to 2019. In-hospital mortality and readmission rates were assessed using orthogonal polynomial contrasts, with the linear and nonlinear trends evaluated as needed. Multivariable logistic regression models were constructed to identify the independent predictors of mortality and readmission. All analyses accounted for the Nationwide Readmission Database sampling design and were performed using SAS version 9.4 (SAS Institute Inc. Cary, NC.) with p <0.05 used to indicate statistical significance. A total of 26,169 hospitalizations for pericardiectomy were identified during the study period. The median age was 59 years and 44% were female. In-hospital mortality was 5.2%, and the median length of stay was 7 days. Advanced age, higher co-morbidity index, and lower annual facility pericardiectomy volume were independent predictors of in-hospital mortality. The 30- and 90-day readmission rates after pericardiectomy were 18% and 28%, respectively. Previous cardiac surgery, diagnosis of constrictive pericarditis, and greater co-morbidity score were independent predictors of readmission. In conclusion, isolated pericardiectomy rates have remained mostly constant, with relatively small changes in in-hospital mortality and 30- and 90-day readmission rates over the last decade. Advanced age, lower facility pericardiectomy volume, and higher Elixhauser co-morbidity index are independent predictors of surgical mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Pericardiectomía Tipo de estudio: Prognostic_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Cardiol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Pericardiectomía Tipo de estudio: Prognostic_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Cardiol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos