What Factors Predict Hospital Readmission after Colorectal Surgery?
| Autor: | Basem, Almussallam, Maurice, Joyce, Peter W, Marcello, Patricia L, Roberts, Todd D, Francone, Thomas E, Read, Jason F, Hall, David J, Schoetz, Rocco, Ricciardi |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Aged 80 and over Male Reoperation Adolescent Databases Factual Incidence Comorbidity Middle Aged Patient Readmission Tertiary Care Centers Young Adult Age Distribution Postoperative Complications Predictive Value of Tests Risk Factors Multivariate Analysis Outcome Assessment Health Care Humans Female Sex Distribution Child Colorectal Surgery Aged Retrospective Studies |
| Zdroj: | The American surgeon. 82(5) |
| ISSN: | 1555-9823 |
| Popis: | Readmissions pose a significant hardship for patients and constitute a major quality and financial concern for hospitals. We sought to define risk factors associated with hospital readmission after colorectal surgery at a tertiary care hospital. We evaluated readmission among all patients who underwent a colorectal surgical procedure between July 16, 2007 and June 30, 2011. In a cohort of 4879 operative encounters, 492 (10%) were readmitted to the hospital within 30 days of discharge. Procedures with highest readmissions included stoma creation (22%), ileoanal pouch surgery (22%), and total proctocolectomy (30%). In multivariate analysis, the following variables were associated with risk of readmission: postoperative complication, use of anxiolytics, high comorbidity score, patient setting, alcohol use, and stoma creation. Surgeon of record was not associated with readmission. In conclusion, several patient, procedural, and postoperative factors were associated with an increased risk of readmission. Considerably high rates of readmission were noted after stoma creation, ileoanal pouch procedures, and proctocolectomy. Surgeon of record was not associated with risk of readmission, indicating little value to this metric as a physician-specific indicator of quality. |
| Databáze: | OpenAIRE |
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