Unplanned Thirty-Day Readmission after Surgical Myectomy for Hypertrophic Obstructive Cardiomyopathy: Using the Nationwide Readmission Database

Aubin Sandio
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Abstract

Hypertrophic Obstructive Cardiomyopathy (HOCM) often masquerades as coronary artery disease. Symptoms which persisted after a 30-day readmission following surgical myectomy included; angina-like chest pain owing to myocardial ischemia, shortness of breath/dyspnea, atrial fibrillation and diastolic dysfunction. HOCM is the most common inherited cardiac disorder. Our study honed-in on the predictability of readmission’s surging healthcare resources; for example, the cost and length of stay utilization after surgical myectomy. Recent theories about the cause of hypertrophy in HOCM patients have been linked to inefficient utilization of ATP. The purpose of this study is to access the incidence, predictors, as well as the causes for readmission in HOCM patients who undergo surgical myectomy. We wanted to investigate the incidence so as to better predict the causes for symptoms after a thirty-day readmission rate following surgical myectomy. Readmission nationwide rates from January 2010 to September 2015’s database was investigated to find out about the 30-day unplanned readmission after surgical myectomy. International Classification of Disease; ninth Revision, and Clinical Modification were used. Patients who were readmitted consisted of those with similar ages as well as sex as well as burdened with higher comorbidities
肥厚性梗阻性心肌病手术切除后30天意外再入院:使用全国再入院数据库
肥厚性梗阻性心肌病(HOCM)常伪装成冠状动脉疾病。术后再入院30天后持续出现的症状包括:心绞痛样胸痛,由心肌缺血、呼吸短促/呼吸困难、心房颤动和舒张功能障碍引起。HOCM是最常见的遗传性心脏疾病。我们的研究聚焦于再入院的医疗资源激增的可预测性;例如,手术切除后的费用和住院时间。最近关于HOCM患者肥厚的原因的理论与ATP的低效利用有关。本研究的目的是了解HOCM患者行子宫肌瘤切除术后再入院的发生率、预测因素和原因。我们希望调查发病率,以便更好地预测手术切除后30天再入院率后症状的原因。对2010年1月至2015年9月的全国再入院率进行调查,以了解手术切除后30天的非计划再入院情况。国际疾病分类;采用第九版修订和临床修改。再次入院的患者包括年龄和性别相似以及有较高合并症的患者
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