AI Article Synopsis
- * A review of surgical data from 2016 to 2020 revealed that 8.8% of patients (247 out of 3069) had unplanned readmissions, primarily due to surgical site infections and pain, with over 45% of these cases being preventable.
- * Key risk factors for unplanned readmissions included older age, longer hospital stays, longer surgery times, elective surgeries, higher ASA scores, and contaminated procedures, highlighting the need for targeted quality improvement efforts.
Article Abstract
Background: Unplanned surgical readmissions are an important indicator of quality care and are a key focus of improvement programs. The aims of this study were to evaluate the factors that lead to unplanned hospital readmissions in patients undergoing general surgical procedures and to identify preventable readmissions.
Methods: A retrospective review of the American College of Surgeons National Surgical Quality Improvement Program database from 2016 to 2020 at a tertiary hospital was conducted to identify patients undergoing a general surgical procedure. Various perioperative parameters were studied to identify risk factors and reasons for unplanned readmission. Preventable readmissions were identified.
Results: A total of 3069 patients underwent a general surgical procedure. Of these, the overall unplanned readmission rate was 8.8% (n = 247). The most common reason for readmission was associated with surgical site infections (n = 112, 44.3%) followed by pain (n = 50, 20.2%), with over 45% deemed as preventable readmissions. Factors associated with increased risk of readmission included older age, longer index length of stay, prolonged operative time, elective procedures, higher ASA score and contaminated procedures.
Conclusion: Unplanned readmissions are more likely to occur in patients who develop postoperative complications. Understanding factors associated with readmissions may facilitate targeted quality improvement projects that reduce hospital readmission after surgery.
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| http://dx.doi.org/10.1111/ans.18222 | DOI Listing |
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