The Association of Health Literacy and Postoperative Complications after Colorectal Surgery: A Cohort Study
| Autor: | Connie Shao, Daniel I. Chu, Robert H. Hollis, Isabel C. Dos Santos Marques, Elizabeth Lopez, Anh M Duong, Swara Bajpai, Marshall C. McLeod, Lauren M. Theiss, Melanie S. Morris, Tara Wood |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Health literacy Article Cohort Studies Postoperative Complications Internal medicine Surgical site Medicine Humans Retrospective Studies business.industry Surgical care Communication Retrospective cohort study General Medicine Length of Stay Middle Aged Colorectal surgery Health Literacy Increased risk Elective Surgical Procedures Female Surgery business Colorectal Surgery Limited health literacy Cohort study |
| Zdroj: | Am J Surg |
| Popis: | Background Health literacy is a determinant of health. Few studies characterize its association with surgical outcomes. Methods Retrospective cohort study of patients undergoing elective colorectal surgery 2015-2020. Health literacy assessed using Brief Health Literacy Screening Tool. Outcomes were postoperative complications, LOS, readmissions, mortality. Results Of 552 patients, 46 (8.3%) had limited health literacy, 506 (91.7%) non-limited. Median age 57.7 years, 305 (55.1%) patients were female, 148 (26.8%) were Black. Limited patients had higher rates of overall complications (43.5% vs. 24.3%, p = 0.004), especially surgical site infections (21.7% vs. 11.3%, p = 0.04). Limited patients had longer LOS (5 vs 3.5 days, p = 0.006). Readmissions and mortality did not differ. On multivariable analysis, limited health literacy was independently associated with increased risk of complications (OR 2.03, p = 0.046), not LOS (IRR 1.05, p = 0.67). Conclusion Limited health literacy is associated with increased likelihood of complications after colorectal surgery. Opportunities exist for health literate surgical care to improve outcomes for limited health literacy patients. |
| Databáze: | OpenAIRE |
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