Hospital readmission after distal pancreatectomy is predicted by specific intra- and post-operative factors
| Autor: | Giovanni Marchegiani, Giuseppe Malleo, Rafael Pieretti-Vanmarcke, Claudio Bassi, Keith D. Lillemoe, Carlos Fernandez-del Castillo, Cristina R. Ferrone, Tiziana Marchese, Francesca Panzeri, Stefano Andrianello, Roberto Salvia |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Urinary system Distal pancreatectomy Outcome Pancreatic fistula Readmission Score 030230 surgery Patient Readmission Intraoperative Period Young Adult 03 medical and health sciences Pancreatectomy Postoperative Complications 0302 clinical medicine Internal medicine medicine Humans Postoperative Period Derivation Young adult Child Aged Retrospective Studies Aged 80 and over business.industry Retrospective cohort study General Medicine Middle Aged Prognosis medicine.disease United States Italy 030220 oncology & carcinogenesis Female Surgery Morbidity business Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 216:511-517 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2017.12.007 |
| Popis: | Background Distal pancreatectomy (DP) continues to carry a significant risk of morbidity resulting in hospital readmissions and increased costs. Prognostic factors predicting 30-day readmission after DP were evaluated. Methods Data were collected from 946 patients undergoing DP at the University of Verona Hospital Trust and the Massachusetts General Hospital between 2004 and 2014. Patients were divided into a derivation and a validation cohort. Results The 30-day readmission rate was 13.9%. Predictors of readmission were age over 60 years (OR 1.8), intraoperative transfusions (OR 2.02), CR-POPF (OR 2.4), abdominal abscesses (OR 3.9), and urinary tract infections (OR 5.9). The score generated by the derivation cohort was validated identifying three different categories with a progressively increased risk for readmission. Conclusion One out of seven patients undergoing DP will be readmitted within 30 days of discharge. Comorbidities seems not to affect the risk. A 10-point score predicts the risk of 30-days readmission. |
| Databáze: | OpenAIRE |
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