Monday, 20 May 2019

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High GPA Hospital Readmission Rates

A national database reveals that patients with granulomatosis with polyangiitis (GPA) have 22.3% risk of hospital readmissions within 30 days of discharge. 

From a total of 9749 hospital admissions with GPA, there were 2173 readmissions within 30 days of discharge.

The top 5 reasons for readmissions were:

  • GPA
  • Sepsis
  • Pneumonia
  • Acute respiratory failure
  • Acute kidney injury

GPA requiring readmissions were associated with higher length of stays and predictors were were younger age (OR 0.99; p = 0.013), no private insurance (OR, 0.50; p < 0.001), more comorbidity (OR, 1.12; p = 0.039), congestive heart failure (OR, 1.71; p = 0.001), acute kidney injury (OR, 1.39; p = 0.005), and discharge to home health care (OR, 1.29; p = 0.039).

A signficant risk of readmission faces patients with GPA, especially those with younger age, public insurance, higher comorbidity burden, cardiac and renal complications.

Disclosures: 
The author has no conflicts of interest to disclose related to this subject

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