Table X.
Primary causes of readmission by replacement modality.
| 30-Day readmission | 6-Month readmission | ||||||
|---|---|---|---|---|---|---|---|
| OHT (n=1,312) | VAD (n=1,922) | OHT (n=2,499) | VAD (n=4,144) | ||||
| Complications of transplanted heart | 387 (31.0%) | Acute on chronic systolic heart failure | 188 (9.7%) | Complications of transplanted heart | 586 (23.5%) | Infection because of VAD | 322 (7.8%) |
| Postoperative infection (septicemia, influenza, pneumonia, C diff colitis, UTI) | 101 (7.7%) | Gastrointestinal tract bleed | 151 (7.8%) | Postoperative infection (septicemia, influenza, pneumonia, C diff colitis, UTI) | 197 (8.0%) | Acute on chronic systolic heart failure | 306 (7.5%) |
| Acute kidney failure | 51 (3.9%) | VAD mechanical complications | 102 (5.9%) | Acute kidney failure | 112 (4.5%) | VAD mechanical complications | 361 (7.9%) |
| Pulmonary embolism and infarction | 31 (2.4%) | Paroxysmal ventricular tachycardia | 112 (5.8%) | Pulmonary embolism | 36 (1.4%) | Paroxysmal ventricular tachycardia | 174 (4.2%) |
| Seroma | 30 (2.2%) | Infection due to VAD | 70 (3.6%) | Seroma | 33 (1.3%) | Gastrointestinal tract bleed | 313 (7.6%) |
| Cardiac dysrhythmias | 16 (2.1%) | Abnormal coagulation profile | 68 (3.5%) | Other pulmonary embolism and infarction | 36 (1.4%) | Chronic ischemic heart disease | 115 (2.8%) |
| Disruption of surgical wound | 22 (1.7%) | Other postoperative infection | 58 (3%) | Complications of transplanted kidney | 29 (1.2%) | Abnormal coagulation profile | 94 (2.3%) |
| Gastrointestinal bleed | 25 (1.9%) | Unspecified transient cerebral ischemia | 32 (1.7%) | Disruption of surgical wound | 24 (0.9%) | Unspecified cerebral artery occlusion | 55 (1.3%) |
OHT, orthotopic heart transplantation; VAD, ventricular assist device; C diff, clostridium difficile; UTI, urinary tract infection.