Rate and Causes of 30-day Unplanned Readmission/Return Following Head and Neck Surgery at a Tertiary Care Center in Saudi Arabia.

Autor:	Merdad M; Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia., Alqutub A; Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Mogharbel A; Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, Saudi Arabia.; Department of Otolaryngology-Head and Neck Surgery, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia., Alghamdi AA; Department of Otolaryngology-Head and Neck Surgery, King Fahad General Hospital, Al-Baha, Saudi Arabia., Alsulami O; Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Awadh M; Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Alsulami AS; Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Saudi journal of medicine & medical sciences [Saudi J Med Med Sci] 2024 Apr-Jun; Vol. 12 (2), pp. 162-168. Date of Electronic Publication: 2024 Apr 05.
DOI:	10.4103/sjmms.sjmms_138_23
Abstrakt:	Background: Identifying and targeting common preventable causes of 30-day hospital readmissions could help improve survival rates and reduce the healthcare burden. Objective: To determine the rate and causes of unplanned hospital return/readmission to the Outpatient Department (OPD) or Emergency Department (ED) within 30 days after discharge following head and neck surgery (HNS) at a tertiary hospital in Western Saudi Arabia. Methods: This retrospective study included all adult patients (aged ≥18 years) who had undergone HNS at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, between January 2015 and December 2022 and returned to the OPD or ED within 30 days of being discharged. Results: Of 1041 patients who had undergone HNS, 84 (8.1%) returned to the hospital within 30 days after discharge: 63 (6.1%) to the OPD and 21 (2.0%) to the ED. A total of 9 (0.9%) patients were readmitted as inpatients, most commonly for infections (33.3%) and neurological symptoms, including weakness and seizures (22.2%). For OPD visits, common causes were wound swelling (25.4%) and neurological symptoms (17.5%). For ED returns, frequent causes were neurological symptoms (23.8%) and surgical site bleeding (19.1%). Readmission was associated with intensive care unit (ICU) admission during the primary hospital stay ( P = 0.003) and higher preoperative baseline health burdens when examined using the American Society of Anesthesiology score ( P = 0.022), the Cumulative Illness Rating Scale ( P = 0.007), and the Charlson Comorbidity Index (CCI) ( P = 0.006). Conclusion: The rate of 30-day unplanned hospital return following head and neck surgery was 6.1% and 2.0% through the OPD and the ED, respectively; 0.9% were readmitted as inpatients. Common causes of return included wound swelling, infections, bleeding, and neurological symptoms. Competing Interests: There are no conflicts of interest. (Copyright: © 2024 Saudi Journal of Medicine & Medical Sciences.)
Databáze:	MEDLINE
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