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The association of discharge decisions after deceased donor kidney transplantation with the risk of early readmission: Results from the deceased donor study
Journal article   Open access   Peer reviewed

The association of discharge decisions after deceased donor kidney transplantation with the risk of early readmission: Results from the deceased donor study

Meera Nair Harhay, Yaqi Jia, Heather Thiessen-Philbrook, Behdad Besharatian, Ramnika Gumber, Francis L Weng, Isaac E Hall, Mona Doshi, Bernd Schroppel, Chirag R Parikh, …
Clinical transplantation, v 32(4), pp e13215-n/a
Apr 2018
DOI: https://doi.org/10.1111/ctr.13215
PMID: 29393541
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc5924427View
Accepted (AM) Open Open Access (License Unspecified)

Abstract

Adult Cadaver Cohort Studies Female Follow-Up Studies Glomerular Filtration Rate Graft Rejection - etiology Graft Rejection - prevention & control Graft Survival Humans Kidney Failure, Chronic - surgery Kidney Function Tests Kidney Transplantation - adverse effects Kidney Transplantation - methods Male Middle Aged Patient Discharge - statistics & numerical data Patient Readmission - statistics & numerical data Prognosis Risk Factors Tissue Donors - statistics & numerical data
Kidney transplant (KT) recipients experience high rates of early (≤30 days) hospital readmission (EHR) after KT, and existing studies provide limited data on modifiable discharge factors that may mitigate EHR risk. We performed a retrospective cohort study of 468 adult deceased donor KT recipients transplanted between 4/2010 and 11/2013 at 5 United States transplant centers. We fit multivariable mixed effects models to assess the association of two potentially modifiable discharge factors with the probability of EHR after KT: (i) weekend discharge and (ii) days to first scheduled follow-up. Among 468 KT recipients, 38% (n = 178) experienced EHR after KT. In fully adjusted analyses, compared to weekday discharges, KT recipients discharged on the weekend had a 29% lower risk of EHR (adjusted odds ratio [aOR] 0.71, 95% confidence interval [CI] 0.41-0.94). Compared to follow-up within 2 days of discharge, KT recipients with follow-up within 3 to 6 days had a 28% higher probability of EHR (aOR 1.28, 95% CI 1.13-1.45). These findings suggest that clinical decisions related to the timing of discharge and follow-up modify EHR risk after KT, independent of traditional risk factors.

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11 citations in Web of Science
10 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Surgery
Transplantation
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