Check in with Carolyn Swan, AVP Cardiovascular Service line or CarolAnne Capron-Reid, Director of HLV service line for UTSW. There are staff collecting this information for the Society of Thoracic Surgeons (STS) database and others.

Hi Michelle,

My database manager is away at the present time to give you current data, but my recollection our recidivism rate is ~ 1.2%. There is an article from a colleague of mine from a few years ago on this topic as well as a few others. See below:

1: Joskowiak D, Wilbring M, Szlapka M, Georgi C, Kappert U, Matschke K, Tugtekin

SM. Readmission to the intensive care unit after cardiac surgery: a single-center

experience with 7105 patients. J Cardiovasc Surg (Torino). 2012 Oct;53(5):671-6.

Epub 2012 Mar 12. PubMed PMID: 22406963.

2: Kumar K, Zarychanski R, Bell DD, Manji R, Zivot J, Menkis AH, Arora RC;

Cardiovascular Health Research in Manitoba Investigator Group. Impact of 24-hour in-house intensivists on a dedicated cardiac surgery intensive care unit. Ann

Thorac Surg. 2009 Oct;88(4):1153-61. doi: 10.1016/j.athoracsur.2009.04.070.

PubMed PMID: 19766800.

3: Vohra HA, Goldsmith IR, Rosin MD, Briffa NP, Patel RL. The predictors and

outcome of recidivism in cardiac ICUs. Eur J Cardiothorac Surg. 2005

Mar;27(3):508-11. Epub 2004 Dec 19. PubMed PMID: 15740964.

4: Cohn WE, Sellke FW, Sirois C, Lisbon A, Johnson RG. Surgical ICU recidivism

after cardiac operations. Chest. 1999 Sep;116(3):688-92. PubMed PMID: 10492272.

5. Eur J Cardiothorac Surg. 2003 Mar;23(3):354-9. ICU readmission after cardiac surgery.Bardell T, Legare JF, Buth KJ, Hirsch GM, Ali IS. PMID: 12614806

I think this is an area ripe for a proper systematic review. Would love to collaborate if you are interested in pursuing.

Sincerely,

rakesh

We performed a few years ago a retrospective analysis of our database. We found a 5% readmission incidence (100 patients out of 2017 cases for a 6 year period). The main independent risk factors for readmission (logistic regression) were active endocarditis before surgery (OR 4,1; 95% CI 1,7-9,9), and new neurological déficit after surgery (OR:2,86; CI 95%: 1,3-6,4). Hope this helps

Hey check out this recent article (this year) from our hospital. Hope it helps

Price JD, Romeiser JL, Gnerre JM, Shroyer AL, Rosengart TK. Risk analysis for readmission after coronary artery bypass surgery: developing a strategy to reduce readmissions.J Am Coll Surg. 2013 Mar;216(3):412-9. doi: 10.1016/j.jamcollsurg.2012.11.009. Epub 2013 Jan 11.

Hi Michelle - the most comprehensive data source for any questions related to cardiothoracic surgery is the Cardiothoracic Surgeons Database - a good background reference for you is Ann Thorac Surg 2011;92:32–9) © 2011 by The Society of Thoracic Surgeons