Outcomes of Small Bowel Obstructions by Admitting Specialty and Hospital Type

Sternick, Molly; A, Licata; Britt, Rebecca C.

doi:10.1177/00031348231157865

Cited by 1 publication

(3 citation statements)

References 13 publications

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“…Several studies have concluded that admission to an SS decreases a patient’s LOS. 1,7 Perhaps the reason that patients admitted to an SS have greater rates of rSBO is related to their length of stay. One could argue that monitoring for complications or recurrence during a prolonged admission could delay or decrease rates of rSBO after discharge, similar to the ERAS type protocol with the goal of reducing risk of ileus and readmission.…”

Section: Discussionmentioning

confidence: 99%

“…Small bowel obstructions (SBOs) are an exceedingly common disease that impacts the health care system and patient quality of life and can frequently be a recurrent issue. 1,2 Small bowel obstructions are estimated to cause over 300,000 admissions annually, costing an estimated $2.3 billion. [3][4][5] Despite how common they are, there are no consistent treatment guidelines.…”

Section: Introductionmentioning

confidence: 99%

“…Many have found that admission to SS improves patient care on a number of levels, including decreased LOS, hospital cost, time to operation, and/or 30-day readmission rates. 1,7-9 Several of the studies have also found that admission to SS decreased chances of developing recurrent SBO, with one study finding a 12% to 19% decrease in risk. 4,12,13 While admission to SS may decrease risk of recurrence and readmission, both still occur.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Indications for Readmission for Small Bowel Obstruction: A Comparison of Medical vs Surgical Service Admission

Sturm,

Van Horn,

Sternick

et al. 2024

The American Surgeon™

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Small bowel obstruction (SBO) impacts the health care system and patient quality of life. Previously, we evaluated differences between medical and surgical admissions in the management of SBO. This study investigates indications for readmission based on original admission to medical (MS) or surgical services (SS). A retrospective chart review was performed for 799 patients aged 18 to 89 admitted between 2012 and 2019 with a diagnosis of SBO. Patient characteristics examined included length of stay (LOS), prior abdominal operations, prior SBO, use of small bowel follow through imaging, operative intervention, mortality, and 30-day readmission. There was no difference in readmission rates in patients originally admitted to MS or SS (13.2% vs 12.7%, P = .86). Patients admitted to SS were more likely to be readmitted for recurrent SBO (39% vs 8.6%, P = .006). Patients admitted to MS were more likely to be readmitted for other reasons (73.9% v. 40.2%, P = .004). In the MS cohort, 30.4% (7 patients) had surgery during their initial admission for SBO, and none of those patients were readmitted for recurrent SBO (rSBO). In the SS cohort, 23% had surgery during their initial admission and 31.6% were readmitted for rSBO ( P = .002). Patients admitted to SS were more likely to be readmitted for rSBO and to require surgery. Patients admitted to MS were more likely to be readmitted for other reasons. None of the MS patients who had surgery were readmitted for SBO. 31.6% of SS patients who had surgery were readmitted for SBO.

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Section: Discussionmentioning

confidence: 99%