Indications for Readmission for Small Bowel Obstruction: A Comparison of Medical vs Surgical Service Admission.

Autor:	Sturm EL; Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA., Van Horn AL; Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA., Sternick ME; Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA., Soult AP; Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA., Britt RC; Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
Jazyk:	angličtina
Zdroj:	The American surgeon [Am Surg] 2024 Jul; Vol. 90 (7), pp. 1872-1874. Date of Electronic Publication: 2024 Mar 26.
DOI:	10.1177/00031348241241715
Abstrakt:	Small bowel obstruction (SBO) impacts the health care system and patient quality of life. Previously, we evaluated differences between medical and surgical admissions in the management of SBO. This study investigates indications for readmission based on original admission to medical (MS) or surgical services (SS). A retrospective chart review was performed for 799 patients aged 18 to 89 admitted between 2012 and 2019 with a diagnosis of SBO. Patient characteristics examined included length of stay (LOS), prior abdominal operations, prior SBO, use of small bowel follow through imaging, operative intervention, mortality, and 30-day readmission. There was no difference in readmission rates in patients originally admitted to MS or SS (13.2% vs 12.7%, P = .86). Patients admitted to SS were more likely to be readmitted for recurrent SBO (39% vs 8.6%, P = .006). Patients admitted to MS were more likely to be readmitted for other reasons (73.9% v. 40.2%, P = .004). In the MS cohort, 30.4% (7 patients) had surgery during their initial admission for SBO, and none of those patients were readmitted for recurrent SBO (rSBO). In the SS cohort, 23% had surgery during their initial admission and 31.6% were readmitted for rSBO ( P = .002). Patients admitted to SS were more likely to be readmitted for rSBO and to require surgery. Patients admitted to MS were more likely to be readmitted for other reasons. None of the MS patients who had surgery were readmitted for SBO. 31.6% of SS patients who had surgery were readmitted for SBO. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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