{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:40:41Z","timestamp":1791463241941,"version":"4.3.4"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We aimed to evaluate the relationship between early discharge and 30-day readmission after isolated coronary artery bypass grafting (CABG).<\/jats:p>\n                  <jats:p>This retrospective study included all consecutive adults undergoing isolated CABG in a single tertiary institution between May 2023 and December 2024. Patients with concomitant cardiac procedures, in-hospital mortality, or prolonged hospitalization (&gt;\u200914 days) were excluded. Patients were categorized into early (\u2264\u20095 days) and late (&gt;\u20095 days) discharge groups. The primary outcome was 30-day all-cause unplanned readmission. The secondary outcome was 30-day all-cause emergency room presentation.<\/jats:p>\n                  <jats:p>The final cohort consisted of 1,470 patients. The 30-day unplanned readmission rate was significantly lower in the early-discharge group compared with the late-discharge group (6.7% vs. 12.0%, p\u2009=\u20090.001). In univariable analysis, advanced age, increased length of hospital stay, cardiopulmonary bypass (CPB) time, mechanical ventilation duration, postoperative atrial fibrillation, and need for surgical reexploration were significantly associated with an increased risk of hospital readmission. In multivariable analysis, early discharge was not an independent predictor of 30-day readmission (odds ratio [OR]: 0.714, 95% confidence interval [CI]: 0.470\u20131.085, p\u2009=\u20090.114). Multivariable analysis identified increased CPB time (OR: 1.008, 95% CI: 1.003\u20131.013, p\u2009=\u20090.003) and surgical reexploration (OR: 2.479, 95% CI: 1.283\u20134.788, p\u2009=\u20090.007) as independent predictors of 30-day readmission.<\/jats:p>\n                  <jats:p>In selected low-risk patients with an uncomplicated postoperative course, early discharge after isolated CABG was not independently associated with increased 30-day readmission. Longer CPB time and surgical reexploration were independently associated with readmission.<\/jats:p>","DOI":"10.1055\/a-2955-5342","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:02:06Z","timestamp":1788994926000},"source":"Crossref","is-referenced-by-count":1,"title":["Early Discharge after Isolated CABG does not Increase 30-Day Readmission"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0046-8303","authenticated-orcid":false,"given":"Kudret Atakan","family":"Tekin","sequence":"additional","affiliation":[{"name":"Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"],"department":["Department of Cardiovascular Surgery"]},{"name":"Adult Cardiac Surgery Quality Improvement Program, Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet Can","family":"Top\u00e7u","sequence":"additional","affiliation":[{"name":"Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"],"department":["Department of Cardiovascular Surgery"]},{"name":"Adult Cardiac Surgery Quality Improvement Program, Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih","family":"Yi\u011fit","sequence":"additional","affiliation":[{"name":"Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"],"department":["Department of Cardiovascular Surgery"]},{"name":"Adult Cardiac Surgery Quality Improvement Program, Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma \u0130rem","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"],"department":["Department of Cardiovascular Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylan","family":"Adademir","sequence":"additional","affiliation":[{"name":"Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"],"department":["Department of Cardiovascular Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaan","family":"K\u0131rali","sequence":"additional","affiliation":[{"name":"Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"],"department":["Department of Cardiovascular Surgery"]},{"name":"Adult Cardiac Surgery Quality Improvement Program, Ko\u015fuyolu High Specialization Education and Research Hospital, \u0130stanbul, T\u00fcrkiye","place":["Istanbul"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/j.athoracsur.2020.05.159","article-title":"Very early discharge after coronary artery bypass grafting does not affect readmission or survival","volume":"111","author":"D K Afflu","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.ijsu.2018.04.022","article-title":"Coronary artery bypass graft readmission rates and risk factors - a retrospective cohort study","volume":"54","author":"T R Feng","year":"2018","journal-title":"Int J Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.athoracsur.2024.05.045","article-title":"Safety of early discharge after coronary artery bypass grafting: a nationwide readmissions analysis","volume":"118","author":"P E Brlecic","year":"2024","journal-title":"Ann Thorac Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/S1010-7940(00)00467-X","article-title":"Early discharge following coronary bypass surgery: is it safe?","volume":"18","author":"M Loubani","year":"2000","journal-title":"Eur J Cardiothorac Surg"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"3766","DOI":"10.1053\/j.jvca.2022.06.012","article-title":"Outcomes of expedited discharge after isolated coronary artery bypass grafting","volume":"36","author":"C G Williamson","year":"2022","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"ref6","first-page":"101552","article-title":"Incidence, timing and variation in unplanned readmissions within 30-days following isolated coronary artery bypass grafting","volume":"56","author":"A Patel","year":"2024","journal-title":"Int J Cardiol Heart Vasc"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"ezag162","DOI":"10.1093\/ejcts\/ezag162","article-title":"Readmission after coronary artery bypass grafting: beyond the 30-day horizon","volume":"68","author":"S Sandner","year":"2026","journal-title":"Eur J Cardiothorac Surg"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.amjcard.2019.04.018","article-title":"Readmissions following isolated coronary artery bypass graft surgery in the United States (from the Nationwide Readmissions Database 2010 to 2014)","volume":"124","author":"H Khoury","year":"2019","journal-title":"Am J Cardiol"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"ezag139","DOI":"10.1093\/ejcts\/ezag139","article-title":"Five-year hospital readmission after isolated coronary artery bypass grafting in the United Kingdom","volume":"68","author":"J Chan","year":"2026","journal-title":"Eur J Cardiothorac Surg"},{"issue":"07","key":"ref10","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1093\/eurjcn\/zvab023","article-title":"Predictors of unplanned 30-day readmissions after coronary artery bypass graft: a systematic review and meta-analysis of cohort studies","volume":"20","author":"Y J Son","year":"2021","journal-title":"Eur J Cardiovasc Nurs"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1016\/j.athoracsur.2020.06.102","article-title":"Early discharge after CABG is not for everyone: a note of caution","volume":"111","author":"V A Ferraris","year":"2021","journal-title":"Ann Thorac Surg"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"3804482","DOI":"10.1155\/jocs\/3804482","article-title":"Establishing a surgeon-led adult cardiac surgery quality improvement program","volume":"2025","author":"A C Topcu","year":"2025","journal-title":"J Card Surg"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1016\/j.athoracsur.2018.03.002","article-title":"The Society of Thoracic Surgeons 2018 Adult Cardiac Surgery Risk Models: Part 1-Background, design considerations, and model development","volume":"105","author":"D M Shahian","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"810334","DOI":"10.3389\/fcvm.2022.810334","article-title":"Epicardial adipose tissue and postoperative atrial fibrillation","volume":"9","author":"L Petraglia","year":"2022","journal-title":"Front Cardiovasc Med"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2955-5342.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:54:18Z","timestamp":1789685658000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2955-5342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,9]]},"references-count":14,"URL":"https:\/\/doi.org\/10.1055\/a-2955-5342","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9,9]]},"published":{"date-parts":[[2026,9,9]]}}}