Living alone predicts 30-day hospital readmission after coronary artery bypass graft surgery

• DOI: 10.1097/hjr.0b013e3282f2dc4e
• Publication Date: 2008-03-27T07:35:09Z
• Authors: Barbara M. Murphy; Peter C. Elliott; Michael R. Le Grande; Rosemary O. Higgins; Christine S. Ernest; Alan J. Goble; James Tatoulis; Marian U.C. Worce...
• Keywords: Convalescence; Stepwise regression

Earlier studies show that medical factors and disease severity predict early readmission to hospital after coronary artery bypass graft surgery (CABGS). Few have investigated psychosocial predictors. This study medical, sociodemographic predictors of 30-day readmission.A consecutive sample 181 patients wait-listed for CABGS completed self-report questionnaires before surgery, at 2 6 months surgery.Twenty-six (14.4%) were readmitted within 30 days discharge. Readmitted older (t=2.12, df=179, P=0.035), more likely be unmarried (chi=5.80, df=1, P=0.016), live alone (chi=8.33, P=0.004), a history hypertension (chi=2.731, P=0.098) higher anxiety (t=1.67, df=175, P=0.097). When these variables entered into backward stepwise logistic regression, the only significant unique predictor was living (Wald=7.08, odds ratio=3.42, P=0.008). Patients over three times than those with others hospital. Disease other not associated readmission.Living identified as single most important risk factor CABGS. who may benefit from additional support during convalescence. Intervention could explore options patients.