Abstract

Prolonged stay in intensive care unit (ICU) after cardiac surgery may increase the long-term risk of readmission. Preoperative risk factors, surgical complications, infections and organ failure may need specific intensive support, increasing costs of reimbursement mainly for ICU interventions. Readmission costs over months after discharge may be a dependant of the need of intensive care.

Highlights

  • Prolonged stay in intensive care unit (ICU) after cardiac surgery may increase the long-term risk of readmission

  • We selected 2067 patients who were admitted to ICUs after cardiac surgery in Regione Piemonte, Italy, in 2009 and analyzed all administrative data listing diagnosis and procedures according to ICD-9CM definitions

  • Known risk factors for complications and surgical events were selected as ICD-9CM codes

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Summary

Objectives

We analyzed the impact of ICU interventions and patientsconditions on readmission risk and on global costs of reimbursement from the National health service with DRG methodology and assessed the impact of ICU on global costs for complicated cardiac surgery patients. estimate (logit) Intercept Female gender

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