Hospital Readmission After Noncardiac Surgery

Abstract

Unplanned readmissions in surgical patients are common in patients experiencing postoperative complications and can be predicted using the ACS NSQIP risk of major complications. Prospective identification of high-risk patients, using the NSQIP complication risk index, may allow hospitals to reduce unplanned rehospitalizations.

The role of the hospital and health care system characteristics in readmissions after major surgery in California

“…This relationship has been well described previously. [28][29][30] We found a correlation between MSH and readmission, which is also in agreement with other studies. 7,8 Although we initially suspected that greater rates of complication in MSH settings might explain our findings, we instead found that complication rates do not vary significantly between MSH and non-MSH for any procedure.…”

Readmissions after general surgery: a prospective multicenter audit

“…The overall rate of readmission of 4.7% compares very favourably with the 6.8% readmission rate found in a recent study based on the NSQIP database 8 . The majority of readmissions (57%) were related to surgical site or abdominal septic complications, with most of these (70%) requiring surgical or radiological intervention.…”

National Trends in Readmission Following Inpatient Surgery in the Hospital Readmissions Reduction Program Era

“…It may be surprising that reductions in medical and surgical readmission are associated, as a growing body of work suggests that surgical and medical readmissions have different underlying mechanisms. [1][2][3][19][20][21] However, it is possible that HRRP motivated hospital leaders to prioritize readmission reductions, and that this could have resulted in the implementation of department specific approaches which had an effect on reducing both non-targeted and targeted surgical procedures. In fact, a prior study found that two-thirds of hospital leaders in the U.S. believed that the HRRP had a "major impact" on the implementation of system wide strategies to reduce readmission rates.…”