Hospital Revisits Within 30 Days After Conventional and Robotically Assisted Hysterectomy
| Autor: | Bernard Friedman, Sherry Glied, Gabriel I. Barbash, Claudia A. Steiner |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Hysterectomy Ambulatory Care Facilities Patient Readmission Severity of Illness Index 03 medical and health sciences Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures Severity of illness medicine Humans Outpatient clinic 030212 general & internal medicine Propensity Score Healthcare Cost and Utilization Project Aged Aged 80 and over 030219 obstetrics & reproductive medicine Obstetrics business.industry Age Factors Public Health Environmental and Occupational Health Emergency department Length of Stay Middle Aged United States humanities Relative risk Propensity score matching Female Laparoscopy Observational study Emergency Service Hospital business |
| Zdroj: | Medical Care. 54:311-318 |
| ISSN: | 0025-7079 |
| DOI: | 10.1097/mlr.0000000000000482 |
| Popis: | OBJECTIVES To compare the rates of hospital readmissions, emergency department, and outpatient clinic visits after discharge for robotically assisted (RA) versus nonrobotic hysterectomy in women age 30 or more with nonmalignant conditions. DATA SOURCES Discharges for 2011 for 8 states (CA, FL, GA, IA, MO, NE, NY, TN) (>86,000 inpatient hysterectomies) were drawn from the statewide databases of the Healthcare Cost and Utilization Project. Data from 4 of these states were used to study revisits after 29,000 outpatient hysterectomies. METHODS Matched pairs of patients were constructed with propensity scores derived from each patient's age group, severity of illness, insurance coverage, and type of procedure. Both the full set of revisits and a set limited to diagnoses for revisits judged in other research to be related to the initial surgery (about 70% of all revisits) were analyzed. The analyses were repeated with an instrumental variables regression design. KEY RESULTS Using the propensity score matched pairs, revisits, and specifically readmissions, after inpatient hysterectomy were greater for RA versus non-RA patients (relative risk of readmission=124%, P |
| Databáze: | OpenAIRE |
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