Temporal patterns of hospital readmissions according to disease category for patients after elective colorectal surgery.

Details

Ressource 1Download: Evaluation Clinical Practice - 2020 - Grass - Temporal patterns of hospital readmissions according to disease category for.pdf (1201.47 [Ko])
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_7AD306BCCE74
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Temporal patterns of hospital readmissions according to disease category for patients after elective colorectal surgery.
Journal
Journal of evaluation in clinical practice
Author(s)
Grass F., Hübner M., Crippa J., Lovely J.K., Huebner M., Larson D.W.
ISSN
1365-2753 (Electronic)
ISSN-L
1356-1294
Publication state
Published
Issued date
04/2021
Peer-reviewed
Oui
Volume
27
Number
2
Pages
218-222
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The aim of this study was to identify temporal readmission patterns according to baseline disease categories to provide opportunities for targeted interventions.
Retrospective analysis of consecutive adult (≥18 years) patients who underwent elective colorectal resections (2011-2017) at Mayo Clinic Rochester, MN. A prospective administrative database including patient demographics, procedure characteristics, discharge information and specifics on 30-day readmissions (to index facility) including timing and reasons was utilized. The ICD-9 codes were regrouped into the main pathologies Cancer, Crohn's disease (CD)/chronic ulcerative colitis (CUC), and diverticular disease.
In total, 521 (7.2%) out of 7245 patients undergoing inpatient colorectal surgery were readmitted. In all increments of time from discharge (0-2 days: 31.3% of all readmissions, 3-7 days: 32.4% of all readmissions, 8-14 days: 18% of all readmissions, and 15-30 days: 18.3% of all readmissions), reasons for readmission differed significantly (all P < 0.001). Across all disease categories, early readmissions (within 2 days of discharge) were most likely due to ileus/obstruction (53.4% of early readmissions), whereas with 42.5%, infection was the most common cause for late readmissions (>7 days). Patients with home discharge were more likely to be readmitted earlier within the 30-day observation period (P = 0.099), whereas patients with a longer length of index hospital stay (>7 days) were readmitted later (P = 0.080).
Reasons for readmission appear to be universal across different disease categories. Targeted educational and collaborative measures may help to mitigate the burden of hospital readmissions to index facilities.
Keywords
Adult, Colorectal Surgery, Humans, Length of Stay, Patient Readmission, Postoperative Complications/epidemiology, Prospective Studies, Retrospective Studies, Risk Factors, colorectal, disease category, readmission
Pubmed
Web of science
Open Access
Yes
Create date
24/04/2020 10:14
Last modification date
22/01/2022 7:10
Usage data