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Table 2 Data variables and data sources

From: A study to reduce readmissions after surgery in the Veterans Health Administration: design and methodology

Component

Variable

Data Source

Pre-Admission

 Demographics

Sex, Race/Ethnicity

CDW Patient Tables

Age

CDW Vital Status Files

 Comorbidities

Functional Status, DNR Status

VASQIP

History of: Angina, Congestive Heart Failure, Cerebrovascular Accident, Peripheral Vascular Disease, Cardiac Surgery, Pre-operative Coma, Impaired Sensorium, Ascites, Esophageal Varices, Bleeding Disorders, Disseminated Cancer, Steroid Use, RBC Transfusion, Wound Infection, Weight Loss, Pneumonia, Ventilator Dependence, Dialysis, Acute Renal Failure

 Social/Behavioral

BMI, >2 Drinks/Day in the 2 Weeks Before Admission, Pack-Years Smoking

VASQIP

Marital Status

CDW Patient Table

Pre-Admission Inpatient and ER Utilization

CDW Inpatient and Outpatient Tables

 Preoperative Labs & Vitals

Albumin, Bicarbonate, Bilirubin, BUN, Calcium, Chloride, Serum Creatinine, Creatinine eGFR, Glucose, Hematocrit, Hemoglobin, INR, Potassium, Sodium, WBC

MCA Laboratory

Systolic & Diastolic Blood Pressure, Pain, Pulse, Pulse Oximetry, Respiration Rate, Temperature

CDW Vital Signs

 Hospital Factors

Index Hospitalization Facility

VASQIP

Operative

 Complexity

Urgent/Emergent status, Inpatient/Outpatient status, Operative Time, Intraoperative RBC transfusion, Wound Classification, work RVU

VASQIP

 Other

Year of Surgery, ASA classification, Anesthesia technique

VASQIP

Post-Operative

 Postoperative Labs & Vitals

Albumin, Bicarbonate, Bilirubin, BUN, Calcium, Chloride, Serum Creatinine, Creatinine eGFR, Glucose, Hematocrit, Hemoglobin, INR, Potassium, Sodium, WBC

MCA Laboratory

Systolic & Diastolic Blood Pressure, Pain, Pulse, Pulse Oximetry, Respiration Rate, Temperature

CDW Vital Signs

 Pre-Discharge Complications

Cardiac Arrest, Myocardial Infarction, Coma, Cerebral Vascular Accident, Wound Disruption, Failure to Wean, Peripheral Nerve Injury, Acute Renal Failure, Organ/Space SSI, RBC Transfusion, DVT/Thrombophlebitis, Pneumonia, Pulmonary Embolism, Reintubation, Progressive Renal Insufficiency, Sepsis, Superficial Infection, Urinary Tract Infection, Deep Wound Infection

VASQIP

 ICU Utilization

ICU visits during the index hospitalization

CDW Inpatient Tables

 Other Postoperative

Postoperative Length of Stay, Number of Surgeries during Index Hospitalization

VASQIP

Discharge Destination

CDW Inpatient Tables

Post-Discharge

 Discharge Characteristics

Care Coordination, Caregiver Accessibility,

CTM-15

Discharge Destination, Functional Status at Discharge, Transportation

Discharge, Readmission, and Follow-Up Interviews

 Discharge Complexity

Medications, Wound Care Instructions, Mobility

Discharge Interview

 Patient Characteristics at Discharge

General Health

VR-12

Cognitive Function

SBT

Pain at Discharge

Visual Analogue Scale

 Post-Discharge Clinic Utilization

VA Clinic Stops in the 30-days post-discharge

CDW Outpatient Tables

 Post-Discharge Complications

Cardiac Arrest, Myocardial Infarction, Coma, Cerebral Vascular Accident, Wound Disruption, Peripheral Nerve Injury, Acute Renal Failure, Organ/Space SSI, RBC Transfusion, DVT/Thrombophlebitis, Pneumonia, Pulmonary Embolism, Reintubation, Progressive Renal Insufficiency, Sepsis, Superficial Infection, Urinary Tract Infection, Deep Wound Infection

VASQIP

Medical Chart Abstraction

 Other

Changes in: Care Coordination, Caregiver Accessibility, Transportation, Medications

Follow-up Interview

Pain at Follow-Up/Readmission

Visual Analogue Scale

Outcome

 Inpatient Readmission

Inpatient Admission within 30-days Following Index Hospitalization Discharge

CDW Inpatient Tables

Readmission Interview

 Unplanned ER Admission

ER utilization within 30-days Following Index Hospitalization Discharge

CDW Outpatient Tables

Readmission Interview

  1. CDW VA’s Corporate Data Warehouse, VASQIP VA Surgical Quality Improvement Program, MCA Managerial Cost Accounting (a series of VA files), CTM Care Transitions Measures, SBT Short Blessed Test; BMI Body Mass Index, DNR Do Not Resuscitate; ER Emergency Room, BUN Blood Urea Nitrogen, eGFR Estimated Glomerular Filtration Rate, INR International Normalized Ratio, WBC White Blood Cell, RBC Red Blood Cell, RVU Relative Value Unit, ASA American Society of Anesthesiologists Physical Status Classification