Abstract | BACKGROUND: METHODS: RESULTS: Of the 14,478 patients included in this study, 801 (5.5%) were readmitted at a median of 11 days (interquartile range 6-17) postprocedure. Intolerance of oral intake (21.8%), respiratory complications (11.6%), abdominal pain (6.0%), and venous thromboembolic events (4.7%) were some of the most common reasons for readmission. Open operative approach (odds ratio 1.34, 95% confidence interval 1.05-1.71), chronic steroid use (odds ratio 1.48, 95% confidence interval 1.10-2.00), emergency admission (odds ratio 1.50, 95% confidence interval 1.01-2.21), and predischarge complication (odds ratio 1.91, 95% confidence interval 1.42-2.59) were associated most strongly with hospital readmission. CONCLUSION: Implementing standardized perioperative strategies, such as nutritional counseling, early ambulation, intensive pulmonary toilet, and deep vein thrombosis prophylaxis, may help decrease the number of preventable readmissions and enhance the overall quality of care in this patient population.
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Authors | Amy K Poupore, Miloslawa Stem, Daniela Molena, Anne O Lidor |
Journal | Surgery
(Surgery)
Vol. 160
Issue 3
Pg. 599-606
(09 2016)
ISSN: 1532-7361 [Electronic] United States |
PMID | 27365228
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2016 Elsevier Inc. All rights reserved. |
Topics |
- Aged
- Esophageal Achalasia
(surgery)
- Female
- Fundoplication
(adverse effects)
- Hernia, Hiatal
(surgery)
- Herniorrhaphy
(adverse effects)
- Humans
- Incidence
- Male
- Middle Aged
- Patient Readmission
- Postoperative Complications
(epidemiology)
- Retrospective Studies
- Risk Factors
- Time Factors
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