Trends and causes of readmission following peripheral vascular intervention in patients with peripheral vascular disease. Issue 3 (16th April 2021)

• Record Type: Journal Article
• Authors: Moussa Pacha, Homam; Mir, Tanveer; Al‐khadra, Yasser; Sattar, Yasar; Ullah, Waqas; Zaher, Nathan; Ahmad, Bachar; M. Suleiman, Abdul‐Rahman; Darmoch, Fahed; Soud, Mohamad; Faraz, Haroon; Hakim, Zaher; Alraies, M. Chadi
• Is Part Of: Catheterization and cardiovascular interventions. Volume 98:Issue 3(2021)
• Page Start: 540
• Page End: 548
• Publication Date: 2021-04-16
• Subjects: hospital readmission -- peripheral arterial disease -- peripheral vascular interventions; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.29698
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract: Objectives: To study the risk factors associated with 30‐readmission postperipheral vascular intervention (PVI) in peripheral artery disease (PAD). Background: There has been a paucity of data regarding the trend and predictors of PVI readmission. Methods: We performed an observational cohort study of patients admitted with peripheral vascular disease for PVI using the NRD for the years 2010–2014. PVI was defined as angioplasty, atherectomy, and/or stenting of lower limb vessels. Results: A total of 453, 278 patients (30‐day readmission n = 97, 235). The mean age of study population was 68.6 ± 12.2 years and included 43.8% women. The 30‐day readmission post‐PVI was 21.5% ( p = .034). Cardiovascular causes constitute 44% of readmission. Chronic limb ischemia and intermittent claudication were two most common cardiovascular causes constituting 11.7 and 4.9% cases of readmissions. Other cardiac causes of readmissions included heart failure (4.64%), dysrhythmias (1.4%), and acute myocardial infarction (1.7%). The high‐risk factors for of all‐cause 30‐day readmission were hypertension, CLI, diabetes, renal failure, dyslipidemia, smoking, chronic pulmonary disease, and atrial fibrillation ( p < .005). Length‐of‐stay was greater than 5 days for 56.2 and 75.4% paid by Medicare. Conclusions: Our study shows an average yearly readmission rate of 21.5% post‐PVI. Chronic comorbidities and prolonged hospitalization were associated with higher risk of readmission.