Variation by center and economic burden of readmissions after liver transplantation

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Gregory C WilsonShimul A Shah

Abstract

The rate and causes of hospital readmissions after liver transplantation (LT) remain largely unknown in the United States. Adult patients (n = 11,937; 43.1% of all LT cases) undergoing LT from 2007 to 2011 were examined with a linkage of the University HealthSystem Consortium and Scientific Registry of Transplant Recipients databases to determine the incidence and risk factors for 30-day readmissions and utilization metrics 90 days after LT. The overall 30-day hospital readmission rate after LT was 37.9%, with half of patients admitted within 7 days after discharge. Readmitted patients had worse overall graft and patient survival with a 2-year follow-up. Multivariate analysis identified risk factors associated with 30-day hospital readmission, including a higher Model for End-Stage Liver Disease score, diabetes at LT, dialysis dependence, a high donor risk index allograft, and discharge to a rehabilitation facility. After adjustments for donor, recipient, and geographic factors in a hierarchical model, we found significant variation in readmission rates among hospitals ranging from 26.3% to 50.8% (odds ratio, 0.53-1.90). In the 90-day analysis after LT, readmissions accounted for $43,785 of added costs in comparison with patien...Continue Reading

References

Feb 15, 2001·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·P S KamathW R Kim
Jul 14, 2001·The New England Journal of Medicine·A V Diez RouxR L Watson
Apr 12, 2002·The New England Journal of Medicine·John D BirkmeyerDavid E Wennberg
Jul 16, 2003·Archives of Surgery·Emily V A FinlaysonJohn D Birkmeyer
Aug 2, 2003·Annals of Surgery·Philip P GoodneyJohn D Birkmeyer
Mar 23, 2004·American Journal of Epidemiology·Guangyong Zou
Mar 17, 2006·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·S FengR M Merion
Aug 30, 2008·Medical Care·Nancy J O BirkmeyerJohn D Birkmeyer
Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
Jul 17, 2009·The New England Journal of Medicine·Eric C Rackow
Sep 8, 2009·Gastroenterology·Anand SinglaShimul A Shah
Feb 18, 2011·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
Mar 9, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Paolo R SalvalaggioDavid A Axelrod
May 29, 2012·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Arema A PereiraJames Perkins
Jul 6, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Christopher W MacomberShimul A Shah
Aug 28, 2012·Journal of the American College of Surgeons·Eric B SchneiderTimothy M Pawlik
Jun 12, 2013·The Journal of Surgical Research·Joshua J ShawShimul A Shah
Sep 12, 2013·Annals of Surgery·Donald J LucasTimothy M Pawlik
Sep 21, 2013·The New England Journal of Medicine·Thomas C TsaiAshish K Jha
Dec 26, 2013·Annals of Surgery·Bradley N ReamesJustin B Dimick
Jun 8, 2014·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·R Cutler QuillinShimul A Shah
Jul 22, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Richard S HoehnShimul A Shah
Aug 8, 2014·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Gregory C WilsonShimul A Shah

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Citations

Apr 7, 2016·Journal of the American College of Surgeons·Anai N KothariPaul C Kuo
Feb 26, 2016·Journal of the American College of Surgeons·Audrey E ErtelShimul A Shah
Apr 24, 2015·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Marina Serper, David S Goldberg
Mar 5, 2016·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Elliot B Tapper
Jun 18, 2016·Clinical Transplantation·Andrew M CourtwrightHilary J Goldberg
Aug 30, 2016·Transplantation Proceedings·Y K KwonR Girlanda
Sep 20, 2016·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Madhukar S PatelParsia A Vagefi
Feb 25, 2017·Clinical Transplantation·Jennifer BerumenAlan Hemming
Nov 9, 2017·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Marina SerperAbraham Shaked
Oct 13, 2017·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·T BittermannD S Goldberg
Feb 27, 2018·Clinical Transplantation·Ahmed M ElsabbaghThomas M Fishbein
Apr 26, 2018·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Joseph H ZeidanMark W Russo
Apr 5, 2019·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Nadim MahmudVandana Khungar
Mar 27, 2019·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Flavio PaternoShimul Shah
Feb 27, 2016·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Mark W RussoPhilippe J Zamor
Jun 8, 2017·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Avegail Flores, Sumeet K Asrani
Jul 9, 2017·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Pratima SharmaRobert M Merion
Jan 31, 2019·Scientific Reports·Gonzalo P Rodríguez-LaizUNKNOWN Liver Transplantation Group
Apr 1, 2020·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Jean Dowling DolsMarcela Gonzalez
Jan 26, 2021·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Paula Molina AvilaValentín Cuervas-Mons
Apr 21, 2021·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Navdeep SinghAshraf El-Hinnawi

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