A nationwide analysis of 30-day readmissions related to critical limb ischemia

• Published in: Vascular 2018-06, Vol.26 (3), p.239-249
• Main Authors: Masoomi, Reza, Shah, Zubair, Quint, Clay, Hance, Kirk, Vamanan, Karthik, Prasad, Anand, Hoel, Andrew, Dawn, Buddhadeb, Gupta, Kamal
• Format: Article
• Language: English
• Subjects: Aged; Amputation - methods; Endovascular Procedures - economics; Extremities - blood supply; Female; Humans; Ischemia - physiopathology; Ischemia - surgery; Length of Stay - economics; Lower Extremity - physiopathology; Lower Extremity - surgery; Male; Patient Readmission - economics; Patient Readmission - statistics & numerical data; Peripheral Arterial Disease - diagnosis; Peripheral Arterial Disease - economics; Peripheral Arterial Disease - therapy; Risk Factors; Time Factors; Treatment Outcome
• ISSN: 1708-5381; 1708-539X
• DOI: 10.1177/1708538117727955

Objectives 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. Methods 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. Results 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