All things not being equal: readmission associated with procedure type

Kasten, Kevin R.; Marcello, Peter W.; Read, Thomas E.; Schoetz, David J.; Hall, Jason F.; Francone, Todd D.; Ricciardi, Rocco

doi:10.1016/j.jss.2014.11.048

Cited by 6 publications

(2 citation statements)

References 36 publications

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“…Although 30-day readmission rates have been studied across most surgical specialties, the recent changes in reimbursement patterns have triggered renewed interest in the subject matter. 2,8,[24][25][26][27][28][29] Jencks et al reviewed Medicare claims data for 11.8 million patients and reported that 15.6% of patients who underwent 1 of 5 surgical procedures were readmitted within 30 days of discharge. Furthermore, .70% of these patients were hospitalized for a medical condition.…”

Section: Discussionmentioning

confidence: 99%

Causes for 30‐Day Readmission following Transsphenoidal Surgery

Hendricks¹,

Shikary²,

Zimmer³

2015

Otolaryngol.--head neck surg.

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Overall, the rate of 30-day readmission following endoscopic pituitary surgery is low. However, common causes of readmission do add significant cost to the overall care of this patient population. Special attention to surgical technique to prevent epistaxis and cerebrospinal fluid rhinorrhea, as well as multidisciplinary team management to avoid postoperative endocrine dysfunction, is critical to minimize these complications.

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Section: Discussionmentioning

confidence: 99%

Causes for 30‐Day Readmission following Transsphenoidal Surgery

Hendricks¹,

Shikary²,

Zimmer³

2015

Otolaryngol.--head neck surg.

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“…A study, using 2011 American College of Surgeons National Surgical Quality Improvement Program data, which evaluated readmission after common major surgical procedures demonstrated that 30-day readmission rates across all surgical specialties was 7.3 per cent with significant variation within individual procedure types. 8 In another review of commercial health insurance records for patients who underwent colorectal procedures, 30-day readmission rates were 11 per cent and accounted for $300 million additional cost nationwide for colorectal surgery alone. 9 Although colorectal surgery procedures are associated with considerably high rates of readmission, more information is needed to identify those risk factors that predispose patients to hospital readmission.…”

mentioning

confidence: 99%

What Factors Predict Hospital Readmission after Colorectal Surgery?

Almussallam

Joyce

Marcello

et al. 2016

The American Surgeon™

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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 read-mission, indicating little value to this metric as a physician-specific indicator of quality.

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Post-operative morbidity, but not mortality, is worsened by operative delay in septic diverticulitis

Mozer

Spaniolas

Sippey

et al. 2016

Int J Colorectal Dis

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Hartmann's procedure has remained the standard operation in emergent surgical management of acute diverticulitis. Delay in definitive surgical therapy greater than 24 h from admission is associated with higher rates of morbidity and protracted post-operative length of stay, but there is no increase in 30-day mortality. Prospective study is necessary to further answer the question of surgical timing in acute diverticulitis.

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All things not being equal: readmission associated with procedure type

Cited by 6 publications

References 36 publications

Causes for 30‐Day Readmission following Transsphenoidal Surgery

Causes for 30‐Day Readmission following Transsphenoidal Surgery

What Factors Predict Hospital Readmission after Colorectal Surgery?

Post-operative morbidity, but not mortality, is worsened by operative delay in septic diverticulitis

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