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Hospitalization and Readmission among Congenital Heart Disease Patients in Canada

  • Author / Creator
    Islam, Sunjidatul
  • The prevalence of congenital heart disease (CHD) is rising, particularly among adults. The rise is particularly prominent for CHD with complex lesions. The impact of these changes on the healthcare system/resource is not known. The first part of this thesis used the hospital discharge abstract data from the Canadian Institute for Health Information and assessed temporal changes in hospitalizations of CHD patients in Canada from 2003 to 2009. Poisson regression analysis was performed to assess temporal changes in the hospitalization rate, stratified by age, sex, and severity of CHD. Increasing inpatient service utilization over time was observed among adult CHD patients particularly in older patients and those with complex CHD. The second part of this thesis focused on determining the readmission rate among CHD patients and identifying risk factors associated with readmission. Poisson regression was used to analyze the readmission rates by age, sex, and severity of CHD. Logistic regression analysis was performed to identify risk factors associated with readmission within two weeks and one month after discharge. The hospital readmission was common among CHD patients particularly among patients aged 40 years or older, males and those with complex CHD. The pattern of inpatient health service utilization by CHD patients in Canada presented in this study would help policy makers to adopt appropriate strategies to meet the increasing demands of this expanding population. In addition, findings on readmission and associated risk factors from our study would facilitate clinicians to identify high-risk patients. We need further studies focusing on the healthcare cost of hospital admissions as well as unplanned readmission among CHD patients.

  • Subjects / Keywords
  • Graduation date
    2014-11
  • Type of Item
    Thesis
  • Degree
    Master of Science
  • DOI
    https://doi.org/10.7939/R3SD4N
  • License
    This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.
  • Language
    English
  • Institution
    University of Alberta
  • Degree level
    Master's
  • Department
    • Department of Public Health Sciences
  • Specialization
    • Epidemiology
  • Supervisor / co-supervisor and their department(s)
    • Andrew Mackie (Department of Pediatrics)
    • Yutaka Yasui (School of Public Health)
  • Examining committee members and their departments
    • Piushkumar Mandhane (Department of Pediatrics)
    • Padma Kaul (School of Public Health)