Common Sequences of Emergency Readmissions among High-Impact Users following AAA Repair
Joint Authors
Rao, Ahsan
Aylin, Paul
Bottle, Alex
Bicknell, Collin
Darzi, Ara
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-03
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Introduction.
The aim of the study was to examine common sequences of causes of readmissions among those patients with multiple hospital admissions, high-impact users, after abdominal aortic aneurysm (AAA) repair and to focus on strategies to reduce long-term readmission rate.
Methods.
The patient cohort (2006–2009) included patients from Hospital Episodes Statistics, the national administrative data of all NHS English hospitals, and followed up for 5 years.
Group-based trajectory modelling and sequence analysis were performed on the data.
Results.
From a total of 16,973 elective AAA repair patients, 18% (n=3055) were high-impact users.
The high-impact users among ruptured abdominal aortic aneurysm (rAAA) repair constituted 17.3% of the patient population (n=4144).
There were 2 subtypes of high-impact users, short-term (7.2%) with initial high readmission rate following by rapid decline and chronic high-impact (10.1%) with persistently high readmission rate.
Common causes of readmissions following elective AAA repair were respiratory tract infection (7.3%), aortic graft complications (6.0%), unspecified chest pain (5.8%), and gastrointestinal haemorrhage (4.8%).
However, high-impact users included significantly increased number of patients with multiple readmissions and distinct sequences of readmissions mainly consisting of COPD (4.7%), respiratory tract infection (4.7%), and ischaemic heart disease (3.3%).
Conclusion.
A significant number of patients were high-impact users after AAA repair.
They had a common and distinct sequence of causes of readmissions following AAA repair, mainly consisting of cardiopulmonary conditions and aortic graft complications.
The common causes of long-term mortality were not related to AAA repair.
The quality of care can be improved by identifying these patients early and focusing on prevention of cardiopulmonary diseases in the community.
American Psychological Association (APA)
Rao, Ahsan& Bottle, Alex& Bicknell, Collin& Darzi, Ara& Aylin, Paul. 2018. Common Sequences of Emergency Readmissions among High-Impact Users following AAA Repair. Surgery Research and Practice،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1214808
Modern Language Association (MLA)
Rao, Ahsan…[et al.]. Common Sequences of Emergency Readmissions among High-Impact Users following AAA Repair. Surgery Research and Practice No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1214808
American Medical Association (AMA)
Rao, Ahsan& Bottle, Alex& Bicknell, Collin& Darzi, Ara& Aylin, Paul. Common Sequences of Emergency Readmissions among High-Impact Users following AAA Repair. Surgery Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1214808
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1214808