What Are the Burden, Causes, and Costs of Early Hospital Readmissions After Kidney Transplantation?
Olusegun Famure, Esther D Kim, Magdalene Au and 5 others
PMID 33759628WHAT IT FOUND
Kidney transplant recipients were readmitted often: 19.4% within 30 days and 26.8% within 90 days.
Infection, rejection, and kidney or urinary issues were the most likely causes, and hospital cost per 30-day readmission was 11 606 CAD.
Key findings
01In 1093 kidney transplant recipients, readmission at 30 days was 19.4% and at 90 days was 26.8%.
02Infection, kidney/genitourinary issues, and rejection were the most likely reasons for readmission within both 30 and 90 days.
03Adjusted models linked chronic lung disease, longer time on dialysis, pre-emptive transplant, and transplant hospitalization over 11 days to higher readmission risk within 30 and 90 days.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study was done at one transplant centre, so its results may not apply to other centres or healthcare systems. Readmissions to other hospitals were not captured, although the authors expected most early readmissions to occur at the transplant centre. The analysis could not assess centre-level care processes, frailty, or social support. Because the study was observational, unmeasured factors may explain some associations. Costs were counted only from the hospital perspective, not community-based costs.
Declared interests
The authors declared no conflicts of interest and received no financial support.
The easy way to misread this
Do not read these risk factors as proven causes of readmission or as targets for intervention. The study was observational, did not test any intervention, and residual confounding may explain the associations.