Early discharge does not increase readmission or mortality after high-risk vascular surgery
Early discharge does not increase readmission or mortality after high-risk vascular surgery
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DOI：
10.1016/j.jvs.2012.07.055
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发表时间：
2013-03-01
影响因子：
4.3
通讯作者：
Stone, David H.
中科院分区：
文献类型：
--
作者：
Brooke, Benjamin S.;Goodney, Philip P.;Stone, David H.
目的：旨在减少血管手术后住院时间的临床路径已得到广泛实施，以降低成本。然而，提早出院可能会对再入院或死亡的风险产生不利影响。为了解决这个问题，我们研究了接受高风险血管手术、胸主动脉瘤 (TAA) 修复术的患者的早期出院与 30 天结果之间的关系。方法：利用 2000 年至 2007 年的医疗保险索赔，我们确定了所有在选择性胸主动脉瘤腔内修复术 (TEVAR) 和未破裂 TAA 开放修复术后出院回家的患者。对于每个程序，我们检查了提前出院之间的相关性（
Purpose: Clinical pathways aimed at reducing hospital length of stay following vascular surgery have been broadly implemented to reduce costs. However, early hospital discharge may adversely affect the risk of readmission or mortality. To address this question, we examined the relationship between early discharge and 30-day outcomes among patients undergoing a high-risk vascular surgery procedure, thoracic aortic aneurysm (TAA) repair.Methods: Using Medicare claims from 2000 to 2007, we identified all patients who were discharged home following elective thoracic endovascular aneurysm repair (TEVAR) and open repair for nonruptured TAAs. For each procedure, we examined the correlation between early discharge (