Readmission following ventral hernia repair: a model derived from the ACS-NSQIP datasets

Nelson, Jonas A.; Fischer, John P.; Chung, Cyndi U.; Wink, Jason D.; Wes, Ari M.; Serletti, Joseph M.; Kovach, Stephen J.

doi:10.1007/s10029-014-1329-2

Cited by 28 publications

(11 citation statements)

References 15 publications

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“…Obesity, along with comorbid conditions, increases postoperative complications and resource utilization 200,201 . For example, DM in addition to obesity increases risks such as poor wound healing (obesity: OR1.35; 95 % CI 1.04-1.75, obesity and DM: OR1.63; 95 % CI 1.14-2.35).…”

Section: Management Of Ventral Hernia Repair In Obese Patientsmentioning

confidence: 99%

Ventral hernia: Patient selection, treatment, and management

Holihan

Alawadi

Harris

et al. 2016

Current Problems in Surgery

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Section: Management Of Ventral Hernia Repair In Obese Patientsmentioning

confidence: 99%

Ventral hernia: Patient selection, treatment, and management

Holihan

Alawadi

Harris

et al. 2016

Current Problems in Surgery

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“…3,6,11,14,15,17,[21][22][23] This is probably because of associated co-morbidities in such cases which put them at a greater risk of developing postoperative complications and thus increased risk of readmission. Patients requiring blood transfusion during their hospital stay were found to be at a significantly higher risk of readmission in the present study.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for 30-day unplanned readmission among patients undergoing laparotomy for perforation peritonitis

et al. 2017

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Background: Unforeseen re-admissions are a consequence of natural course of patient’s disease or results from sub-optimal care during first admission. Apart from causing increased expenditure, readmission immensely adds to the distress of the patient as well as his relatives. The aim of the study was to assess the incidence and risk factors for 30-day unplanned readmission following emergency laparotomy for perforation peritonitis.Methods: This prospective observational study was conducted on 145 patients undergoing laparotomy for perforation peritonitis in over a period of two years. Various pre-operative, intra-operative and post-operative parameters were studied to identify the risk factors for readmission.Results: Overall readmission rate was 8.96% and in majority of the cases it was due to post-surgical complications. Various factors found significant for readmission were American Society of Anaesthesiology (ASA) grade (p = 0.014) hypoproteinemia (p<0.001), diabetes mellitus (p = 0.001), immuno compromised status (p<0.001), stoma creation (p<0.001), blood transfusion (p = 0.022), renal complications and UTI (p = 0.027 each). On multivariate analysis, hypoproteinemia and stoma creation were found to be significant.Conclusions: Risk factors for readmission among surgical patients are multi-factorial. Taking appropriate steps can reduce the burden of readmission. Moreover decreasing the rate of surgical readmission represents an opportunity to improve patient care.

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“…There are a variety of reasons patients or clinicians choose non-operative management including prohibitive medical risks, high rate of predicted surgical complications, patient preference, or asymptomatic hernias [1][2][3][4][5][6][7][8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

A Prospective Assessment of Clinical and Patient‐Reported Outcomes of Initial Non‐Operative Management of Ventral Hernias

Holihan

Flores-Gonzalez

et al. 2017

World j. surg.

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Readmission following ventral hernia repair: a model derived from the ACS-NSQIP datasets

Abstract: Perioperative predictors of readmission following VHR include smoking, ASA score, operative magnitude, concurrent panniculectomy, and preoperative anemia and bleeding disorders. The presented model based on these factors can aid in perioperative risk stratification for readmission.

Cited by 28 publications

References 15 publications

Ventral hernia: Patient selection, treatment, and management

Ventral hernia: Patient selection, treatment, and management

Risk factors for 30-day unplanned readmission among patients undergoing laparotomy for perforation peritonitis

A Prospective Assessment of Clinical and Patient‐Reported Outcomes of Initial Non‐Operative Management of Ventral Hernias

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