{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:42:28Z","timestamp":1786725748108,"version":"build-2736575974"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016]]},"abstract":"\n Introduction:<\/jats:title>\n Clinical information continues to be limited regarding changes in the temporal risk profile for readmissions during the initial postoperative year in vascular surgery patients. We set out to describe the associations between demographics, clinical outcomes, comorbidity indices, and hospital readmissions in a sample of patients undergoing common extremity revascularization or dialysis access (ERDA) procedures. We hypothesized that factors independently associated with readmission will evolve from \u201cshort-term\u201d to \u201clong-term\u201d determinants at 30-, 180-, and 360-day postoperative cutoff points.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n Following IRB approval, medical records of patients who underwent ERDA at two institutions were retrospectively reviewed between 2008 and 2014. Abstracted data included patient demographics, procedural characteristics, the American Society of Anesthesiologists score, Goldman Criteria for perioperative cardiac assessment, the Charlson comorbidity index, morbidity, mortality, and readmission (at 30-, 180-, and 360-days). Univariate analyses were performed for readmissions at each specified time point. Variables reaching statistical significance of\n P<\/jats:italic>\n < 0.20 were included in multivariate analyses for factors independently associated with readmission.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 450 of 744 patients who underwent ERDA with complete medical records were included. Patients underwent either an extremity revascularization (e.g. bypass or endarterectomy, 406\/450) or a noncatheter dialysis access procedure (44\/450). Sample characteristics included 262 (58.2%) females, mean age 61.4 \u00b1 12.9 years, 63 (14%) emergent procedures, and median operative time 164 min. Median hospital length of stay (index admission) was 4 days. Cumulative readmission rates at 30-, 180-, and 360-day were 12%, 27%, and 35%, respectively. Corresponding mortality rates were 3%, 7%, and 9%. Key factors independently associated with 30-, 180-, and 360-day readmissions evolved over the study period from comorbidity and morbidity-related issues in the short-term to cardiovascular and graft patency issues in the long-term. Any earlier readmission elevated the risk of subsequent readmission.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n We noted important patterns in the temporal behavior of hospital readmission risk in patients undergoing ERDA. Although factors independently associated with readmission were not surprising (e.g. comorbidity profile, cardiovascular status, and graft patency), the knowledge of temporal trends described in this study may help determine clinical risk profiles for individual patients and guide readmission reduction strategies. These considerations will be increasingly important in the evolving paradigm of value-based healthcare.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/0022-3859.188548","type":"journal-article","created":{"date-parts":[[2016,8,17]],"date-time":"2016-08-17T03:04:51Z","timestamp":1471403091000},"page":"216-222","source":"Crossref","is-referenced-by-count":3,"title":["Temporal variability of readmission determinants in postoperative vascular surgery patients"],"prefix":"10.4103","volume":"62","author":[{"given":"MJ","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Baky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BC","family":"Housley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Pletcher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JD","family":"Balshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SP","family":"Stawicki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DC","family":"Evans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-2-20240205","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/0895-4356(94)90129-5","article-title":"Validation of a combined comorbidity index","volume":"47","author":"Charlson","year":"1994","journal-title":"J Clin Epidemiol"},{"key":"R2-2-20240205","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1016\/j.jamcollsurg.2010.01.028","article-title":"Frailty as a predictor of surgical outcomes in older patients","volume":"210","author":"Makary","year":"2010","journal-title":"J Am Coll Surg"},{"key":"R3-2-20240205","doi-asserted-by":"crossref","first-page":"224","DOI":"10.4103\/0974-2700.161658","article-title":"Comorbidity polypharmacy score and its clinical utility: A pragmatic practitioner's perspective","volume":"8","author":"Stawicki","year":"2015","journal-title":"J Emerg Trauma Shock"},{"key":"R4-2-20240205","doi-asserted-by":"crossref","first-page":"e77","DOI":"10.1016\/j.jacc.2014.07.944","article-title":"2014 ACC\/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: A report of the American College of Cardiology\/American Heart Association Task Force on practice guidelines","volume":"64","author":"Fleisher","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"R5-2-20240205","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.jvs.2015.02.021","article-title":"Rates and predictors of readmission after minor lower extremity amputations","volume":"62","author":"Beaulieu","year":"2015","journal-title":"J Vasc Surg"},{"key":"R7-2-20240205","first-page":"38","article-title":"Avoiding the penalty box. 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