Outcomes and Readmission in Patients With Retinal Artery Occlusion (from the Nationwide Readmission Database)
Section snippets
Methods
The study cohort was derived using the Nationwide Readmission Database (NRD) from 2016 to 2018. The NRD is part of the Healthcare Cost and Utilization Project's family of databases by the Agency for Healthcare Research and Quality. This study was exempt from review by the Cleveland Clinic Institutional Review Board in accordance with the institutional policy. We queried the database using the International Classification of Diseases, Tenth Revision (ICD-10) diagnostic codes H34.0, H43.1,
Results
This study included a total of 14,527 patients with RAO. The mean age of patients admitted with RAO was 69 ± 13 years (Table 1); 7,532 patients (52%) were men. Most common co-morbidities were hypertension in 11,839 patients (82%), hyperlipidemia in 8,868 patients (61%), ischemic cardiomyopathy in 4,862 patients (33%), smoking in 4,772 patients (33%), and diabetes in 4,588 patients (32%). Other important co-morbidities included carotid artery disease (3,863 [27%]), peripheral vascular disease
Discussion
We report hypertension, hyperlipidemia, ischemic cardiomyopathy, smoking, and diabetes as the most common co-morbidities/risk factors among patients with RAO. Among patients with RAO, 2.1% died, 10.9% developed stroke, 4.2% developed MI, 10.5% underwent carotid procedure, and 24.9% were readmitted within 6 months. Carotid artery disease was the most common cause of readmission. In RAO, cancer, CKD, Medicare/Medicaid, and Elixhauser co-morbidity index ≥3 were strong predictors of 6-month
Disclosures
Dr. Kalra is the Chief Executive Officer and Creative Director of makeadent.org. The remaining authors have no conflicts of interest to declare.
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Cited by (0)
Funding: makeadent.org Ram and Sanjita Kalra Aavishqaar Fund.
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