Early Contact after Hospital Discharge Does Not Prevent Readmission in Patients Undergoing Pancreaticoduodenectomy
| Autor: | Katherine M. Gebhardt, L. Andrew DiFronzo, Stephanie Young |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Gastric emptying business.industry Telephone call medicine.medical_treatment Retrospective cohort study General Medicine medicine.disease Pancreaticoduodenectomy Surgery 03 medical and health sciences 0302 clinical medicine Pancreatic fistula 030220 oncology & carcinogenesis Hospital discharge Medicine In patient 030212 general & internal medicine High incidence business |
| Zdroj: | The American Surgeon. 83:1157-1160 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313481708301029 |
| Popis: | Studies suggest that early contact (EC) after hospital discharge may help reduce hospital read-missions among medical patients. The objective of this study is to determine if EC after hospital discharge in patients undergoing a pancreaticoduodenectomy (PD) can reduce readmission. We performed a retrospective study of 35 patients who underwent PD over 18 months. Early, focused contact after hospital discharge was either a telephone call by a registered nurse or a clinic visit with a provider within four days of discharge. Hospital readmission rates were analyzed between the EC and no-early contact (NC) cohorts. Nineteen patients received EC after hospital discharge and 16 were in the NC group. Fourteen patients (40%) were readmitted, with postoperative pancreatic fistula and delayed gastric emptying as the most common indications for readmission (71.4%). Overall readmission rates were not significantly different between the EC and NC groups (31.6 vs 50.0%, respectively, P = 0.27). EC after hospital discharge in patients undergoing PD does not prevent readmission. This is likely due to the high incidence of postoperative pancreatic fistula or delayed gastric emptying that clinically manifests after hospital discharge and EC and requires readmission for management. |
| Databáze: | OpenAIRE |
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