logo BDSP

Base documentaire


Fermeture du portail BDSP le 1er juillet 2019. En savoir plus...

  1. Hospital readmission after cardiac surgery : Does "fast track" cardiac surgery result in cost saving or cost shifting ? Commentary.

    Article, Communication - En anglais

    Council on Cardio-Thoracic and Vascular Surgery. American Heart Association. Scientific Sessions. Orlando, FL, USA, 1997/11/09.

    Background-Intense medical and economic pressures have created « fast track » cardiac surgery in which clinical services are streamlined and early discharge is encouraged.

    Does this strategy promote significant cost saving or merely cost shifting ?

    In a global system of reimbursement, the economic benefit of decreasing patient length of stay may be offset by high rates of patient readmission.

    This study was undertaken to determine the 30-day readmission rate after cardiac surgery and to analyze trends of readmission diagnoses.

    Methods and Results-From October 1,1996 to July 31,1997,460 consecutive cardiac surgical operations were performed at I institution.

    There were 25 deaths and 8 patients who remained as inpatients at the 30-day postoperative deadline for readmission.

    Two patients had 2 operations.

    Therefore, 527 operations were performed on 525 patients.

    There were 110 readmissions after 527 operations for a readmission rate of 20.9%. A significant number of readmissions (49%) were to outside hospitals.

    Readmission diagnoses were :

    • atrial fibrillation (23%) ;

    • angina, congestive heart failure, or ventricular tachycardia (20%) ;

    • leg wound (15%) ;

    • sternal wound (5%) ;

    • pneumonia (5%) ;

    • gastrointestinal complaints (5%) ;

    • neurologic event (2%) ;

    • and miscellaneous (25%). Patients discharged >=7 days postoperatively were twice as likely to be readmitted as those discharged on postoperative days 4,5, or 6. (...)

    Mots-clés Pascal : Chirurgie, Coeur, Analyse coût, Economie santé, Hospitalisation, Durée, Traitement, Pronostic, Homme

    Mots-clés Pascal anglais : Surgery, Heart, Cost analysis, Health economy, Hospitalization, Duration, Treatment, Prognosis, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0068871

    Code Inist : 002B25E. Création : 31/05/1999.



Fermeture du portail BDSP le 1er juillet 2019

Nous avons le regret de vous informer de la fermeture du portail BDSP le 1er juillet 2019. Du 1er janvier au 30 juin 2019, le site et ses services resteront accessibles mais ne seront plus alimentés, ni mis à jour. En savoir plus...