{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:13:29Z","timestamp":1777943609335,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T00:00:00Z","timestamp":1503532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>There is paucity of information regarding critical limb ischemia-related readmission rates in patients admitted with critical limb ischemia. We studied 30-day critical limb ischemia-related readmission rate, its predictors, and clinical outcomes using a nationwide real-world dataset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We did a secondary analysis of the 2013 Nationwide Readmissions Database. We included all patients with a primary diagnosis of extremity rest pain, ulceration, and gangrene secondary to peripheral arterial disease. From this group, all patients readmitted with similar diagnosis within 30 days were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the total 25,111 index hospitalization for critical limb ischemia, 1270 (5%) were readmitted with a primary diagnosis of critical limb ischemia within 30 days. The readmission rate was highest (9.5%) for the group that did not have any intervention (revascularization or major amputation) and was lowest for surgical revascularization and major amputation groups (2.6% and 1.3%, P value &lt;0.001 for all groups). Severity of critical limb ischemia at index admission was associated with a significantly higher rate of 30-day readmission. Critical limb ischemia-related readmission was associated with a higher rate of major amputation (29.6% vs. 16.2%, P&lt;0.001), a lower rate of any revascularization procedure (46% vs. 62.6%, P&lt;0.001), and a higher likelihood of discharge to a skilled nursing facility (43.2% vs. 32.2%, P&lt;0.001) compared to index hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In patients with primary diagnosis of critical limb ischemia, 30-day critical limb ischemia-related readmission rate was affected by initial management strategy and the severity of critical limb ischemia. Readmission was associated with a significantly higher rate of amputation, increased length of stay, and a more frequent discharge to an alternate care facility than index admission and thus may serve as a useful quality of care metric in critical limb ischemia patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1708538117727955","type":"journal-article","created":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T09:50:07Z","timestamp":1503568207000},"page":"239-249","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["A nationwide analysis of 30-day readmissions related to critical limb ischemia"],"prefix":"10.1177","volume":"26","author":[{"given":"Reza","family":"Masoomi","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Diseases, The University of Kansas Medical Center, Kansas City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zubair","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases, The University of Kansas Medical Center, Kansas City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clay","family":"Quint","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases, The University of Kansas Medical Center, Kansas City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirk","family":"Hance","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases, The University of Kansas Medical Center, Kansas City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karthik","family":"Vamanan","sequence":"additional","affiliation":[{"name":"Mid America Heart & Lung Surgeons, Kansas City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular, UT Health San Antonio, San Antonio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Hoel","sequence":"additional","affiliation":[{"name":"Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Buddhadeb","family":"Dawn","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases, The University of Kansas Medical Center, Kansas City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamal","family":"Gupta","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases, The University of Kansas Medical Center, Kansas City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,8,24]]},"reference":[{"key":"bibr1-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2003.10.020"},{"key":"bibr2-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70078-9"},{"key":"bibr3-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.125435"},{"key":"bibr4-1708538117727955","unstructured":"Centers for Medicare and Medicaid Services. Application of incentives to reduce avoidable readmissions to hospitals.\n                      Fed Regist\n                      2008; 73: 23673\u201323675."},{"key":"bibr5-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.010270"},{"key":"bibr6-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.09.077"},{"key":"bibr7-1708538117727955","doi-asserted-by":"crossref","unstructured":"Reed GW, Raeisi-Giglou P, Kafa R, et al. Hospital readmissions following endovascular therapy for critical limb ischemia: associations with wound healing, major adverse limb events, and mortality.\n                      J Am Heart Assoc\n                      2016; 5: e003168.","DOI":"10.1161\/JAHA.115.003168"},{"key":"bibr8-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.03.255"},{"key":"bibr9-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.03.281"},{"key":"bibr10-1708538117727955","doi-asserted-by":"crossref","unstructured":"Teraa M, Conte MS, Moll FL, et al. Critical limb ischemia: current trends and future directions.\n                      J Am Heart Assoc\n                      2016;  5: e002938.","DOI":"10.1161\/JAHA.115.002938"},{"key":"bibr11-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2013.12.012"},{"key":"bibr12-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70154-0"},{"key":"bibr13-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.02.040"},{"key":"bibr14-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90133-8"},{"key":"bibr15-1708538117727955","doi-asserted-by":"crossref","unstructured":"Agarwal S, Pitcavage JM, Sud K, et al. Burden of readmissions among patients with critical limb ischemia.\n                      J Am Coll Cardiol\n                      2017;  69: 1897\u20131908.","DOI":"10.1016\/j.jacc.2017.02.040"},{"key":"bibr16-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.11.074"},{"key":"bibr17-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67704-5"},{"key":"bibr18-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.12.055"},{"key":"bibr19-1708538117727955","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2011.07.011"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538117727955","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1708538117727955","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538117727955","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:30:46Z","timestamp":1777707046000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1708538117727955"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,24]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1177\/1708538117727955"],"URL":"https:\/\/doi.org\/10.1177\/1708538117727955","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,24]]}}}