Adult Postoperative Open-Heart Patients: Anemia and 30-Day Hospital Readmission
type: CreativeWork
description: Background. In 2013 alone, more than 4% (3.9 million) of patients discharged from a hospital were readmitted. Anemia following a surgical procedure is associated with early hospital readmission. Purpose/Aims. The following were specific aims of this dissertation: Aim 1. To develop an operational definition of the term condition-based maintenance as applied to health care and discuss the applicability and effectiveness of condition-based maintenance within health care. Aim 2. To identify the number of adult patients undergoing elective open-heart surgery with preoperative anemia. Aim 3. To examine the relationship between preoperative anemia, sociodemographics, and 30-day hospital readmission rates among postoperative open-heart adult patients. Aim 4. To explain the development and impact of the Hospital Readmissions Reduction Program (HRRP) and discuss the political, social, and economic implications of CABG as a newly targeted condition within the HRRP. Approach. To address aim 1, the Walker and Avant model for concept analysis was used to review and analyze relevant literature, create a basic operational definition, and clarify related concepts. To address aims 2 and 3, a retrospective cross‐sectional study was conducted using the STS Database to identify 1,353 surgical cases between August 2014 and July 2018. Cross-tabs and multivariable logistic regression analysis were used to assess the prevalence of preoperative anemia and association with 30-day hospital readmission. To address aim 4, a policy analysis was performed in accordance with Bardach and Patashnik’s procedure. Findings. From the concept analysis process, the notion of condition-based maintenance emerged, holding promise in advancing symptom science through development of personalized strategies to treat and prevent adverse symptoms of illness. The prevalence of preoperative anemia was 43.7% (n = 591), and 177 (13%) had a 30-day hospital readmission. Patients with preoperative anemia had 1.88 (95% CI…
abstract: Background. In 2013 alone, more than 4% (3.9 million) of patients discharged from a hospital were readmitted. Anemia following a surgical procedure is associated with early hospital readmission. Purpose/Aims. The following were specific aims of this dissertation: Aim 1. To develop an operational definition of the term condition-based maintenance as applied to health care and discuss the applicability and effectiveness of condition-based maintenance within health care. Aim 2. To identify the number of adult patients undergoing elective open-heart surgery with preoperative anemia. Aim 3. To examine the relationship between preoperative anemia, sociodemographics, and 30-day hospital readmission rates among postoperative open-heart adult patients. Aim 4. To explain the development and impact of the Hospital Readmissions Reduction Program (HRRP) and discuss the political, social, and economic implications of CABG as a newly targeted condition within the HRRP. Approach. To address aim 1, the Walker and Avant model for concept analysis was used to review and analyze relevant literature, create a basic operational definition, and clarify related concepts. To address aims 2 and 3, a retrospective cross‐sectional study was conducted using the STS Database to identify 1,353 surgical cases between August 2014 and July 2018. Cross-tabs and multivariable logistic regression analysis were used to assess the prevalence of preoperative anemia and association with 30-day hospital readmission. To address aim 4, a policy analysis was performed in accordance with Bardach and Patashnik’s procedure. Findings. From the concept analysis process, the notion of condition-based maintenance emerged, holding promise in advancing symptom science through development of personalized strategies to treat and prevent adverse symptoms of illness. The prevalence of preoperative anemia was 43.7% (n = 591), and 177 (13%) had a 30-day hospital readmission. Patients with preoperative anemia had 1.88 (95% CI…
author: Ryan, Lindsey
keywords: anemia, cardiac surgery, readmission, condition based maintenance, value based purchasing, Nursing
date published: 2019-05-25T07:00:00Z
date modified: 2026-07-24T05:41:20Z
provider: University of San Diego
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of San Diego