More problems, more money: Identifying and predicting high-cost rescue after colorectal surgery

Autor: Ira L. Leeds, Miranda S. Moore, Kurt Schultz, Joseph K. Canner, Haddon J. Pantel, Anne K. Mongiu, Vikram Reddy, Eric Schneider
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Surgery Open Science, Vol 16, Iss , Pp 148-154 (2023)
Druh dokumentu: article
ISSN: 2589-8450
DOI: 10.1016/j.sopen.2023.10.007
Popis: Background: Successful rescue after elective surgery is associated with increased healthcare costs, but costs vary widely. Treating all rescue events the same may overlook targeted opportunities for improvement. The purpose of this study was to predict high-cost rescue after elective colorectal surgery. Methods: We identified adult patients in the National Inpatient Sample (2016–2021) who underwent elective colectomy or proctectomy. Rescued patients were defined as those who underwent additional major procedures. Three groups were stratified: 1) uneventful recovery; 2) Low-cost rescue; 3) High-cost rescue. Multivariable Poisson regression was used to identify preoperative clinical predictors of high-cost versus low-cost rescue. Results: We identified 448,590 elective surgeries, and rescued patients composed 4.8 %(21,635) of the total sample. The median increase in costs in rescued patients was $25,544(p
Databáze: Directory of Open Access Journals