![](/images/graphics-bg.png)
Preoperative White Blood Cell Count and Risk of 30-Day Readmission after Cardiac Surgery
Joint Authors
Jones, Cheryl
Ross, Cathy S.
Helm, Robert E.
Chaisson, Kristine
Dacey, Lawrence J.
Horton, Susan R.
Quinn, Reed D.
LeBlond, Kelly
Malenka, David J.
Hofmaster, Patricia
Boss, Richard A.
Duquette, Dennis
Landis, Robert Clive
Magnus, Patrick C.
DiScipio, Anthony W.
Brown, Jeremiah R.
Westbrook, Benjamin M.
Desaulniers, Helen
Source
International Journal of Inflammation
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-18
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Approximately 1 in 5 patients undergoing cardiac surgery are readmitted within 30 days of discharge.
Among the primary causes of readmission are infection and disease states susceptible to the inflammatory cascade, such as diabetes, chronic obstructive pulmonary disease, and gastrointestinal complications.
Currently, it is not known if a patient’s baseline inflammatory state measured by crude white blood cell (WBC) counts could predict 30-day readmission.
We collected data from 2,176 consecutive patients who underwent cardiac surgery at seven hospitals.
Patient readmission data was abstracted from each hospital.
The independent association with preoperative WBC count was determined using logistic regression.
There were 259 patients readmitted within 30 days, with a median time of readmission of 9 days (IQR 4–16).
Patients with elevated WBC count at baseline (10,000–12,000 and >12,000 mm3) had higher 30-day readmission than those with lower levels of WBC count prior to surgery (15% and 18% compared to 10%–12%, P=0.037).
Adjusted odds ratios were 1.42 (0.86, 2.34) for WBC counts 10,000–12,000 and 1.81 (1.03, 3.17) for WBC count > 12,000.
We conclude that WBC count measured prior to cardiac surgery as a measure of the patient’s inflammatory state could aid clinicians and continuity of care management teams in identifying patients at heightened risk of 30-day readmission after discharge from cardiac surgery.
American Psychological Association (APA)
Brown, Jeremiah R.& Landis, Robert Clive& Chaisson, Kristine& Ross, Cathy S.& Dacey, Lawrence J.& Boss, Richard A.…[et al.]. 2013. Preoperative White Blood Cell Count and Risk of 30-Day Readmission after Cardiac Surgery. International Journal of Inflammation،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-497472
Modern Language Association (MLA)
Brown, Jeremiah R.…[et al.]. Preoperative White Blood Cell Count and Risk of 30-Day Readmission after Cardiac Surgery. International Journal of Inflammation No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-497472
American Medical Association (AMA)
Brown, Jeremiah R.& Landis, Robert Clive& Chaisson, Kristine& Ross, Cathy S.& Dacey, Lawrence J.& Boss, Richard A.…[et al.]. Preoperative White Blood Cell Count and Risk of 30-Day Readmission after Cardiac Surgery. International Journal of Inflammation. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-497472
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497472