Recommended Citation
Hussain B, Basir MB, Mahmood A, Belur A, and Alexander T. CRT-700.66 Principal Diagnosis and Independent Predictors for 30-Day Readmissions in Primary Cardiac Tumor Patients. JACC Cardiovasc Interv 2023; 16(4):S110.
Document Type
Conference Proceeding
Publication Date
2-27-2023
Publication Title
JACC Cardiovasc Interv
Abstract
Background: Primary cardiac tumors (PCT) are rare with an incidence of 0.3-0.7%. We aimed to study the rate, causes and independent predictors for 30-day readmissions in patients diagnosed with PCT using a national level database.
Methods: We conducted a retrospective cohort analysis using the National Readmissions Database between 2016-2018. ICD-10 codes were used to identify patients with benign and malignant PCT. Patients <18 years and December admissions were excluded. Primary outcomes were the readmission rate and principal diagnosis for 30-day readmissions in patients hospitalized with primary diagnosis of PCT. Multivariate logistic regression was used for analysis.
Results: 4451 patients were admitted with the primary diagnosis of PCT, out of which 4348 patients were discharged alive. Among those discharged alive, 13.8% (599 patients) were readmitted within 30 days. The most common principal diagnosis for 30-day readmissions were subsequent admission for benign PCT (17.12%), atrial fibrillation (8.1%), sepsis (5.3%), pneumonia (4.04%), hypertensive heart disease with heart failure (2.6%), supraventricular tachycardia (2.54%), non-inflammatory pericardial effusion (2.31%), and pleural effusion (2.22). For the index admissions, 65.7% were females, and mean age was 60.8 years. The in-hospital mortality rate for index admissions was 2.28% while it was 2.36% for the readmission. For the index admission, mean length of stay was 8 days while mean total charges were $163,636. For all the readmissions combined, the total length of stay was 3598 days and combined total charges were $54.7 million. The independent predictors for readmission were atrial fibrillation (OR 0.71, p=0.02), myocardial infarction (OR 2.89, p=0.006), acute liver failure/hepatic cirrhosis (OR 2.34, p=0.02), and diabetes mellitus (OR 1.75, p=0.002).
Conclusion: In patients with a principal diagnosis of PCT, the 30-day readmission rate is 13.8% and the most common principal diagnosis for readmissions are PCT complications, atrial fibrillation, supraventricular tachycardia, pneumonia, sepsis, hypertensive heart disease with heart failure, pericardial effusion, and pleural effusion.
Volume
16
Issue
4
First Page
S110
