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

Marwah, Sanjay; Singla, Priyanka; Singh, Mahavir; Sharma, Himanshu

doi:10.18203/2349-2902.isj20170206

Cited by 1 publication

(4 citation statements)

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“…It is divided into 6 classes ranging from ASA I for a healthy person and ASA VI for a brain dead person whose organs are being removed for donation [ 20 ]. An ASA class ≥3 has been consistently associated with 30-day unplanned readmissions across surgical specialties [ 4 6 7 8 21 ]. Our study corroborated with these findings with ASA class ≥3 being the strongest independent predictor of 30-day unplanned readmissions.…”

Section: Discussionmentioning

confidence: 99%

“…Readmission is defined as a state when the patient is admitted to the same or a different hospital after being discharged from the applicable hospital to a non-acute setting, such as his home within a specified time period [6]. Only those patients who were re-admitted to our department were included in the study.…”

Section: Methodsmentioning

confidence: 99%

“…Out of the total 3,209 patients who underwent these procedures during the study period, we identified 56 patients who met our eligibility criteria that is unplanned readmission within 30 days of the principal surgery. Readmission is defined as a state when the patient is admitted to the same or a different hospital after being discharged from the applicable hospital to a non-acute setting, such as his home within a specified time period [ 6 ]. Only those patients who were re-admitted to our department were included in the study.…”

Section: Methodsmentioning

confidence: 99%

“…There have been various studies on unplanned readmissions in general surgical patients [ 4 5 6 ]. Recently studies have also been carried out to see readmission rates in patients undergoing urologic surgeries [ 7 8 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Unplanned 30-day readmission rates in patients undergoing endo-urological surgeries for upper urinary tract calculi

et al. 2018

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PurposeTo see the 30-day unplanned readmission rates in patients underdoing endo-urological surgeries for upper urinary tract calculi we conducted this retrospective study at King George's Medical University, Lucknow, India. Unplanned readmissions not only add to healthcare costs but also are bothersome for the patients. There are many studies on 30-day unplanned readmissions in general surgical patients. Although similar studies have been done in certain urological procedures, no study has reported readmission rates or its risk factors in patients undergoing surgeries for upper urinary tract calculi.Materials and MethodsWe retrospectively reviewed our prospectively maintained database from 1st January 2009 to 31st December 2017, for the patients who underwent endo-urological procedures for upper urinary tract calculi and identified the patients who were re-admitted within 30 days of discharge.ResultsOut of the total 3,209 patients undergoing endo-urological procedures for upper urinary tract calculi 56 were re-admitted. The readmission rate was 1.74% over the study period. The most common etiology for readmission was sepsis followed by hematuria. The significant risk factors for readmission in bivariate analysis included male gender, age >65 years, current smoking, chronic obstructive pulmonary disease, diabetes mellitus, bleeding disorder, prior cardiac disease, and American Society of Anesthesiologists (ASA) class ≥3. In multivariate risk adjusted logistic regression analysis ASA class ≥3 was the only independent risk factor for readmission.ConclusionsThe readmission rates in endo-urological procedures for urolithiasis are less compared to other procedures. ASA class ≥3 is the most important independent predictor of unplanned 30-day readmissions.

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