{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T06:26:51Z","timestamp":1774592811079,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,4]],"date-time":"2019-04-04T00:00:00Z","timestamp":1554336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23DK091514"],"award-info":[{"award-number":["K23DK091514"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R03DK106432"],"award-info":[{"award-number":["R03DK106432"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Reducing acute care utilization is a means of improving long\u2010term patient outcomes. We sought to assess high inpatient (IP) admission and standalone emergency department (ED) utilization within a 9\u2010month period post\u2010kidney transplantation and to identify mutable factors to reduce utilization. In this ten\u2010year retrospective study, 1599 adult kidney transplant recipients were identified. A previous transplant, graft loss, or death within 3\u00a0months post\u2010transplantation excluded 319 patients. Comprehensive resource utilization data were obtained from a statewide database. Those with \u22652 IP admissions or standalone ED visits 4\u201012\u00a0months post\u2010transplantation were classified as high utilizers. Multivariable logistic regression models were used for examining associations of predictors with high IP or ED utilization. Of 1280 kidney recipients, 209 and 183 were categorized as IP and ED high utilizers, respectively. Factors significantly associated with high IP utilization included valvular disease, body mass index \u226535, and IP or ED use &lt;3\u00a0months post\u2010transplantation; while factors associated with high ED utilization included IP or ED use &lt;3\u00a0months post\u2010transplantation, younger age, female, smoker, congestive heart failure, depression, and IP or ED use 1\u00a0year pre\u2010transplantation. Inpatient and standalone ED utilization within a 9\u2010month period after kidney transplantation is high and associated with sociodemographic factors, mutable comorbidities, and healthcare utilization.<\/jats:p>","DOI":"10.1111\/ctr.13522","type":"journal-article","created":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T20:09:42Z","timestamp":1552421382000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Hospital admissions and emergency department visits among kidney transplant recipients"],"prefix":"10.1111","volume":"33","author":[{"given":"Erin R.","family":"Weeda","sequence":"first","affiliation":[{"name":"Department of Clinical Pharmacy and Outcomes Sciences, College of Pharmacy Medical University of South Carolina Charleston South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zemin","family":"Su","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics Medical University of South Carolina Charleston South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7273-4589","authenticated-orcid":false,"given":"David J.","family":"Taber","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Ralph H Johnson VAMC Charleston South Carolina"},{"name":"Department of Surgery Medical University of South Carolina Charleston South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Bian","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics Medical University of South Carolina Charleston South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3929-7863","authenticated-orcid":false,"given":"Thomas A.","family":"Morinelli","sequence":"additional","affiliation":[{"name":"Department of Surgery Medical University of South Carolina Charleston South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole A.","family":"Pilch","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacy and Outcomes Sciences, College of Pharmacy Medical University of South Carolina Charleston South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick D.","family":"Mauldin","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics Medical University of South Carolina Charleston South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek A.","family":"DuBay","sequence":"additional","affiliation":[{"name":"Department of Surgery Medical University of South Carolina Charleston South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.010270"},{"key":"e_1_2_9_3_1","unstructured":"Anonymous.Centers for Medicare and Medicaid Services: Readmissions reduction program.https:\/\/www.cms.gov\/medicare\/medicare-fee-for-service-payment\/acuteinpatientpps\/readmissions-reduction-program.html. 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