The Relationship Between Performance Indicators and Readmission of Patients With Open Heart Surgery: A Case Study in Iran

Background: Open heart surgery is a prevalent therapeutic intervention for cardiovascular diseases. Significant adverse effects occur after heart surgery, one of which is patient readmission to the hospital. Objective: The present study aimed to determine the relationship between performance indicators and the readmission of patients with open heart surgery in a teaching hospital in Iran. Methods: This study was performed using a cross-sectional and descriptive method with a retrospective approach. Data was collected on a data collection form. The statistical population of this study comprised all patients who underwent open heart surgery from mid-September ۲۰۱۵ to mid-September ۲۰۱۶ in a teaching hospital in the north of Iran (n=۸۴۹). Those patients readmitted to the hospital within ۹۰ days after discharge, based on a review of patient records, were included in the study. Descriptive statistics and Spearman correlation coefficient were used for data analysis by SPSS ۲۰. Results: Among the patients who had open heart surgery in the selected hospital, ۱۲.۵% were readmitted within ۹۰ days after discharge. The most important reasons for readmission in this study were infection in surgery place (۲۵.۸%), pleural effusion (۱۸.۷%), warfarin toxicity (۹.۸%), and tamponade (۸.۹%). There were inverse relationships between patient readmission and the two performance indicators of bed occupancy percentage (r = -۰.۵۹۴, P = ۰.۰۴۲) and bed turnover rate (r = -۰.۶۶۴, P = ۰.۰۱۸). There were no statistically significant relationships between any of the other indicators (length of stay, mortality, and bed turnover interval) and readmission rate (P > ۰.۱). Conclusion: Hospital authorities can use these results for bed management and targeting interventions to reduce costs and readmissions as a measure of hospital quality. However, further research into readmission factors in other hospitals is recommended.