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

Détails

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Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_7AD306BCCE74
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Temporal patterns of hospital readmissions according to disease category for patients after elective colorectal surgery.
Périodique
Journal of evaluation in clinical practice
Auteur⸱e⸱s
Grass F., Hübner M., Crippa J., Lovely J.K., Huebner M., Larson D.W.
ISSN
1365-2753 (Electronic)
ISSN-L
1356-1294
Statut éditorial
Publié
Date de publication
04/2021
Peer-reviewed
Oui
Volume
27
Numéro
2
Pages
218-222
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
24/04/2020 10:14
Dernière modification de la notice
22/01/2022 7:10
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