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• W4213073213 abstract "Patients undergoing lower extremity bypass (LEB) are at risk of postdischarge complications and requiring readmission. Health systems have developed strategies to mitigate this risk. Our study aimed to assess the short-term readmission, mortality, and amputation rates of patients who had participated in transition care planning by completing at least one postdischarge follow-up telephone call after undergoing LEB for revascularization to treat peripheral artery disease. A retrospective review was completed for patients who had undergone LEB surgery between January 2010 and January 2020 to treat peripheral artery disease at our institution. Immediate discharge follow-up was performed via telephone conversations using a standardized script. A schematic diagram of the transition care planning program is shown in the Fig. The patients were divided into two groups, those who had not had a successful follow-up telephone call (group I) and those who had had at least one successful follow-up telephone call after discharge (group II). Univariate analysis was used to compare the preoperative demographics, intraoperative variables, and postoperative outcomes. The probability of readmission and contributing risk factors were computed using multiple stepwise forward regression analyses. A total of 457 patients had undergone LEB from 2010 to 2020 and had meet the criteria for inclusion in our study. Of the 457 patients, 126 (27.6%) had not had a successful postdischarge follow-up telephone call (group I) and 331 (72.4%) had had a successful telephone call (group II). The patients who had completed a successful telephone call had had lower readmission rates within 30 days postoperatively (8.8% vs 17.5%; P = .008), and the difference was sustained on multivariate analysis (adjusted odds ratio, 0.18; 95% confidence interval [CI], 0.05-0.66; P = .009). No differences were observed for short-term mortality (group I, 3.2%; vs group II, 1.2%; P = .152) or amputation (group I, 9.6%; vs group II, 5.9%; P = .162). Risk analysis showed that by receiving a telephone call, the risk of readmission could be decreased to one half (relative risk, 0.50; 95% CI, 0.30-0.84), with an attributable risk reduction of −8.7% (95% CI, −15.9% to −1.4%). The results from our single-institution retrospective study have demonstrated the importance of immediate discharge follow-up telephone calls for patients who have undergone LEB in reducing 30-day readmissions. The development of reliable and efficient systems to enhance immediate discharge follow-up for vascular surgery patients is pivotal to improving the quality of care, preventing readmissions, and potentially reducing healthcare costs." @default.
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• W4213073213 date "2022-03-01" @default.
• W4213073213 modified "2023-09-27" @default.
• W4213073213 title "Implementation of Transitional Care Planning Is Associated With Reduced Readmission Rates in Patients Undergoing Lower Extremity Bypass Surgery for Peripheral Arterial Disease" @default.
• W4213073213 doi "https://doi.org/10.1016/j.jvs.2021.12.029" @default.
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