The relationship between community need and 30-day readmission in diabetic patients after coronary artery bypass graft surgery

Qiana Sutton
2019
Short-term hospital readmissions have been directly linked to escalating healthcare costs. Coronary artery bypass graft (CABG) surgery has been identified as one of the most commonly performed procedures with a persistently elevated readmission rate despite known risk factors. Comorbid condition, diabetes mellitus, has been found to further increase the risks of readmission in the patient who underwent the CABG procedure. To date, the effects of community healthcare access needs have received
more » ... eds have received little attention as a possible link to the persistently elevated short-term readmission rate in the diabetic patient after the CABG procedure. Therefore, this retrospective, quantitative study sought to explore the relationship between community healthcare access needs and 30-day hospital readmission rates in diabetic patients after Coronary Artery Bypass Graft Surgery.Patient demographics (age, sex, race/ethnicity, employment status, marital status, health insurance, English language as primary language, housing status and high school graduate) and the community need index (CNI) score were examined. CNI score is the average of five barrier condition scores (employment, education, insurance, language, and housing) for each community based on zip code. The results of the study showed a lack of utility of the CNI score with the major findings: disabled diabetic patients were two times more likely to be readmitted than the non-disabled diabetic patient after CABG procedure regardless of community healthcare access needs.
doi:10.7282/t3-bgn6-7f97 fatcat:zfqbszrzknbhrbfdaozrladvh4