Risk Factors for 30-Day Readmissions and Modifying Postoperative Care after Gastric Bypass Surgery

Tayne, Samantha; Merrill, Christian A.; Shah, Sajani; Kim, Julie; Mackey, William C.

doi:10.1016/j.jamcollsurg.2014.03.054

Cited by 21 publications

(18 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Body mass index (BMI) has also been examined, with a BMI above 60 kg/m 2 found to be associated with 30-day readmissions in a 2014 study of gastric bypass patients. [38] We found no relationship between 30-, 60-, or 90-day readmission and BMI; however, our mean BMI (31.41 ± 9.39 kg/m 2 ) is noticeably smaller than that of Tayne et al [38] Contrary to a previous study, [21] we did not find body temperature to be a predictor of early hospital readmission. The inability of the clinical variables BMI, systolic blood pressure, and diastolic blood pressure to predict early readmission also supported in part the indeterminate findings of past studies.…”

Section: Discussioncontrasting

confidence: 80%

“…The inability of the clinical variables BMI, systolic blood pressure, and diastolic blood pressure to predict early readmission also supported in part the indeterminate findings of past studies. [11,21,22,27,31,38] There did exist some limitations to the design of this study. Smoking status was measured as a self-identified variable, creating the potential for self-reporting bias.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Risk predictors for hospital readmission in a low socio-economic and underserved population

Couch

Peterson

Bowden

et al. 2018

JHA

View full text Add to dashboard Cite

Objective: Hospital readmissions are significant and potentially preventable sources of healthcare cost in the United States. The Affordable Care Act (ACA) establishes the Hospital Readmissions Reduction Program (HRRP) in an attempt to reduce readmissions by penalizing institutions whose 30-day readmission rates are above the national average. The current study examines demographic and clinical variables associated with early hospital readmission in a low socioeconomic status, underserved population. Methods: A secondary data analysis was conducted of 2,536 patients from the acute primary care facilities who were hospitalized. Age, sex, race, ethnicity, smoking status, systolic blood pressure, diastolic blood pressure, body temperature, pulse rate, and days to follow up visit were analyzed in a sample of 2,536 hospitalized patients at or below 200% of federal poverty guidelines in Central Texas to determine association with risk of 0-30-(30), 31-60-(60) and 61-90-(90) day all-cause readmission. Results: Multinomial statistical analysis found pulse rate was associated with 30-, 60-, and 90-day readmission as compared to a control group. Days to follow-up were associated with decreased risk of readmission in all groups, and passive smoking status was associated with decreased risk of 90-day readmission as compared to a control group. Conclusions: Results offer healthcare providers with tools for potentially identifying patients at elevated risk for readmission in a disadvantaged population and suggest further investigation of other clinical and laboratory variables as predictors of readmission risk.

show abstract

Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Risk predictors for hospital readmission in a low socio-economic and underserved population

Couch

Peterson

Bowden

et al. 2018

JHA

View full text Add to dashboard Cite

show abstract

“…Readmission rates vary widely based on procedure type from 0.5 % after gastric banding to 11 % for Roux-en-Y gastric bypass (RYGB) [14][15][16][17][18][19][20][21][22][23]. Moreover, hospital use more than doubles after gastric bypass surgery [14], and readmissions after bariatric surgery can nearly triple riskadjusted health expenditure [15] in the first six months post-procedure.…”

mentioning

confidence: 99%

30-Day readmission after bariatric surgery in a publicly funded regionalized center of excellence system

2015

View full text Add to dashboard Cite

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

Risk Factors for 30-Day Readmissions and Modifying Postoperative Care after Gastric Bypass Surgery

Cited by 21 publications

References 21 publications

Risk predictors for hospital readmission in a low socio-economic and underserved population

Risk predictors for hospital readmission in a low socio-economic and underserved population

30-Day readmission after bariatric surgery in a publicly funded regionalized center of excellence system

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

Contact Info

Product

Resources

About