open access

Vol 86, No 2 (2018)
ORIGINAL PAPERS
Published online: 2018-04-30
Submitted: 2017-12-30
Accepted: 2018-02-24
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Prevalence and predictors of readmissions among adults with cystic fibrosis in the United States

Kshitij Chatterjee, Abhinav Goyal, Deepak Reddy, Vikas Koppurapu, Ayoub Innabi, Bashar Alzghoul, Rajani Jagana
DOI: 10.5603/ARM.2018.0006
·
Pubmed: 29709046
·
Adv Respir Med 2018;86(2):75-77.

open access

Vol 86, No 2 (2018)
ORIGINAL PAPERS
Published online: 2018-04-30
Submitted: 2017-12-30
Accepted: 2018-02-24

Abstract

Introduction: Patients with Cystic Fibrosis (CF) have increasing rates of hospitalization. We analyzed the burden and predictors
of thirty-day readmission among patients with CF in the U.S.


Material and methods: Nationwide Readmission Database (NRD) 2013 was used to identify adults with CF who were hospitalized.
These individuals were followed to determine the prevalence of readmission within thirty days of index discharge. Cox
proportional hazard regression was used to identify independent predictors of readmission.


Results: There were 14,616 index admissions of adults with CF in 2013. Of these, 2,606 (17.8%) patients were readmitted within
30 days of discharge. Female sex and chronic anemia were independent predictors of readmission. The most common causes of
readmission were pulmonary exacerbation (31%), lung transplant complications (5.2%), and septicemia (3.4%).


Conclusion: Readmissions are frequent among adults with CF and contribute to significant healthcare burden and cost among
this population.

Abstract

Introduction: Patients with Cystic Fibrosis (CF) have increasing rates of hospitalization. We analyzed the burden and predictors
of thirty-day readmission among patients with CF in the U.S.


Material and methods: Nationwide Readmission Database (NRD) 2013 was used to identify adults with CF who were hospitalized.
These individuals were followed to determine the prevalence of readmission within thirty days of index discharge. Cox
proportional hazard regression was used to identify independent predictors of readmission.


Results: There were 14,616 index admissions of adults with CF in 2013. Of these, 2,606 (17.8%) patients were readmitted within
30 days of discharge. Female sex and chronic anemia were independent predictors of readmission. The most common causes of
readmission were pulmonary exacerbation (31%), lung transplant complications (5.2%), and septicemia (3.4%).


Conclusion: Readmissions are frequent among adults with CF and contribute to significant healthcare burden and cost among
this population.

Get Citation

Keywords

cystic fibrosis, readmissions, epidemiology

About this article
Title

Prevalence and predictors of readmissions among adults with cystic fibrosis in the United States

Journal

Advances in Respiratory Medicine

Issue

Vol 86, No 2 (2018)

Pages

75-77

Published online

2018-04-30

DOI

10.5603/ARM.2018.0006

Pubmed

29709046

Bibliographic record

Adv Respir Med 2018;86(2):75-77.

Keywords

cystic fibrosis
readmissions
epidemiology

Authors

Kshitij Chatterjee
Abhinav Goyal
Deepak Reddy
Vikas Koppurapu
Ayoub Innabi
Bashar Alzghoul
Rajani Jagana

References (7)
  1. Chatterjee K, Goyal A, Shah N, et al. Contemporary national trends of cystic fibrosis hospitalizations and co-morbidities in the United States. Adv Respir Med. 2016; 84(6): 316–323.
  2. Nationwide Readmission Database Overview . https://www.hcup-us.ahrq.gov/nrdoverview.jsp (27.02.2017).
  3. Centers for Medicare and Medicaid Services. Measure Methodology [Internet]. 2017. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-assessment-Instruments/HospitalQualityInits/Measure-Methodology.html (27.02.2017).
  4. Chatterjee K, Goyal A, Joshi M. Thirty-Day Readmissions in Adults Hospitalized for COPD or Bronchiectasis: Findings From the Nationwide Readmission Database 2013. Chest. 2017; 151(4): 943–945.
  5. 2013 CFF Annual Data Report. https://www.cff.org/2013_CFF_Annual_Data_Report_to_the_Center_Directors.pdf (27.02.2017).
  6. Dreyer RP, Dharmarajan K, Hsieh AF, et al. Diagnoses and timing of 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia. JAMA. 2013; 309(4): 355–363.
  7. Hernandez AF, Greiner MA, Fonarow GC, et al. Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. JAMA. 2010; 303(17): 1716–1722.

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