Does Travel Distance Affect Readmission Rates after Cardiac Surgery?
With emphasis on value-based health care, empiric models are used to estimate expected read-mission rates for individual institutions. The aim of this study was to determine the relationship between distance traveled to seek surgical care and likelihood of readmission in adult patients undergoing ca...
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| Veröffentlicht in: | The American surgeon 2017-10, Vol.83 (10), p.1170-1173 |
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| creator | Juo, Yen-yi Woods, Alexis Ou, Ryan Ramos, Gianna Shemin, Richard Benharash, Peyman |
| description | With emphasis on value-based health care, empiric models are used to estimate expected read-mission rates for individual institutions. The aim of this study was to determine the relationship between distance traveled to seek surgical care and likelihood of readmission in adult patients undergoing cardiac operations at a single medical center. All adults undergoing major cardiac surgeries from 2008 to 2015 were included. Patients were stratified by travel distance into regional and distant travel groups. Multivariable logistic regression models were developed to assess the impact of distance traveled on odds of readmission. Of the 4232 patients analyzed, 29 per cent were in the regional group and 71 per cent in the distant. Baseline characteristics between the two groups were comparable except mean age (62 vs 61 years, P < 0.01) and Caucasian race (59 vs 73%, P < 0.01). Distant travel was associated with a significantly longer hospital length of stay (11.8 vs 10.5 days, P < 0.01) and lower risk of readmission (9.5 vs 13.4%, P < 0.01). Odds of readmission was inversely associated with logarithm of distance traveled (odds ratio 0.75). Travel distance in patients undergoing major cardiac surgeries was inversely associated with odds of readmission. |
| doi_str_mv | 10.1177/000313481708301032 |
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The aim of this study was to determine the relationship between distance traveled to seek surgical care and likelihood of readmission in adult patients undergoing cardiac operations at a single medical center. All adults undergoing major cardiac surgeries from 2008 to 2015 were included. Patients were stratified by travel distance into regional and distant travel groups. Multivariable logistic regression models were developed to assess the impact of distance traveled on odds of readmission. Of the 4232 patients analyzed, 29 per cent were in the regional group and 71 per cent in the distant. Baseline characteristics between the two groups were comparable except mean age (62 vs 61 years, P < 0.01) and Caucasian race (59 vs 73%, P < 0.01). Distant travel was associated with a significantly longer hospital length of stay (11.8 vs 10.5 days, P < 0.01) and lower risk of readmission (9.5 vs 13.4%, P < 0.01). Odds of readmission was inversely associated with logarithm of distance traveled (odds ratio 0.75). Travel distance in patients undergoing major cardiac surgeries was inversely associated with odds of readmission.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481708301032</identifier><identifier>PMID: 29391118</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Adults ; Aged ; California ; Cardiac Surgical Procedures ; Coronary vessels ; Female ; Fines & penalties ; Follow-Up Studies ; Health care ; Health care facilities ; Health Services Accessibility - statistics & numerical data ; Heart ; Heart diseases ; Heart surgery ; Hospitals ; Humans ; Institutions ; Joint surgery ; Logistic Models ; Male ; Medicare ; Middle Aged ; Mortality ; Multivariate Analysis ; Patient Readmission - statistics & numerical data ; Patients ; Postal codes ; Regional development ; Regression analysis ; Regression models ; Retrospective Studies ; Risk Factors ; Surgery ; Travel ; Travel - statistics & numerical data ; Variables</subject><ispartof>The American surgeon, 2017-10, Vol.83 (10), p.1170-1173</ispartof><rights>2017 Southeastern Surgical Congress</rights><rights>Copyright Southeastern Surgical Congress Oct 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-2a87d7197ccc306163d70337aba4dc3862c11bc2a7513803ddcea338e03c1dcc3</citedby><cites>FETCH-LOGICAL-c415t-2a87d7197ccc306163d70337aba4dc3862c11bc2a7513803ddcea338e03c1dcc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000313481708301032$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000313481708301032$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29391118$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Juo, Yen-yi</creatorcontrib><creatorcontrib>Woods, Alexis</creatorcontrib><creatorcontrib>Ou, Ryan</creatorcontrib><creatorcontrib>Ramos, Gianna</creatorcontrib><creatorcontrib>Shemin, Richard</creatorcontrib><creatorcontrib>Benharash, Peyman</creatorcontrib><title>Does Travel Distance Affect Readmission Rates after Cardiac Surgery?</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>With emphasis on value-based health care, empiric models are used to estimate expected read-mission rates for individual institutions. The aim of this study was to determine the relationship between distance traveled to seek surgical care and likelihood of readmission in adult patients undergoing cardiac operations at a single medical center. All adults undergoing major cardiac surgeries from 2008 to 2015 were included. Patients were stratified by travel distance into regional and distant travel groups. Multivariable logistic regression models were developed to assess the impact of distance traveled on odds of readmission. Of the 4232 patients analyzed, 29 per cent were in the regional group and 71 per cent in the distant. Baseline characteristics between the two groups were comparable except mean age (62 vs 61 years, P < 0.01) and Caucasian race (59 vs 73%, P < 0.01). Distant travel was associated with a significantly longer hospital length of stay (11.8 vs 10.5 days, P < 0.01) and lower risk of readmission (9.5 vs 13.4%, P < 0.01). Odds of readmission was inversely associated with logarithm of distance traveled (odds ratio 0.75). Travel distance in patients undergoing major cardiac surgeries was inversely associated with odds of readmission.</description><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>California</subject><subject>Cardiac Surgical Procedures</subject><subject>Coronary vessels</subject><subject>Female</subject><subject>Fines & penalties</subject><subject>Follow-Up Studies</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Heart surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Institutions</subject><subject>Joint surgery</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medicare</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multivariate Analysis</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Patients</subject><subject>Postal codes</subject><subject>Regional development</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgery</subject><subject>Travel</subject><subject>Travel - 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Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Juo, Yen-yi</au><au>Woods, Alexis</au><au>Ou, Ryan</au><au>Ramos, Gianna</au><au>Shemin, Richard</au><au>Benharash, Peyman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does Travel Distance Affect Readmission Rates after Cardiac Surgery?</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2017-10</date><risdate>2017</risdate><volume>83</volume><issue>10</issue><spage>1170</spage><epage>1173</epage><pages>1170-1173</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>With emphasis on value-based health care, empiric models are used to estimate expected read-mission rates for individual institutions. The aim of this study was to determine the relationship between distance traveled to seek surgical care and likelihood of readmission in adult patients undergoing cardiac operations at a single medical center. All adults undergoing major cardiac surgeries from 2008 to 2015 were included. Patients were stratified by travel distance into regional and distant travel groups. Multivariable logistic regression models were developed to assess the impact of distance traveled on odds of readmission. Of the 4232 patients analyzed, 29 per cent were in the regional group and 71 per cent in the distant. Baseline characteristics between the two groups were comparable except mean age (62 vs 61 years, P < 0.01) and Caucasian race (59 vs 73%, P < 0.01). Distant travel was associated with a significantly longer hospital length of stay (11.8 vs 10.5 days, P < 0.01) and lower risk of readmission (9.5 vs 13.4%, P < 0.01). Odds of readmission was inversely associated with logarithm of distance traveled (odds ratio 0.75). Travel distance in patients undergoing major cardiac surgeries was inversely associated with odds of readmission.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>29391118</pmid><doi>10.1177/000313481708301032</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Adults Aged California Cardiac Surgical Procedures Coronary vessels Female Fines & penalties Follow-Up Studies Health care Health care facilities Health Services Accessibility - statistics & numerical data Heart Heart diseases Heart surgery Hospitals Humans Institutions Joint surgery Logistic Models Male Medicare Middle Aged Mortality Multivariate Analysis Patient Readmission - statistics & numerical data Patients Postal codes Regional development Regression analysis Regression models Retrospective Studies Risk Factors Surgery Travel Travel - statistics & numerical data Variables |
| title | Does Travel Distance Affect Readmission Rates after Cardiac Surgery? |
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