These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Early versus late hospital readmission after pancreaticoduodenectomy.
    Author: Schneider EB, Canner JK, Gani F, Kim Y, Ejaz A, Spolverato G, Pawlik TM.
    Journal: J Surg Res; 2015 Jun 01; 196(1):74-81. PubMed ID: 25777825.
    Abstract:
    BACKGROUND: Most studies focus on readmission within 30 d of surgery and may therefore underestimate the true burden of readmission after complex procedures. We therefore sought to explore factors associated with readmission within 90 d of discharge after pancreaticoduodenectomy (PD). METHODS: Patients discharged after PD between 2010 and 2012 were identified from the Truven Health MarketScan database. Determinants of early (≤30 d) and late (31-90 d) readmission were identified and analyzed. RESULTS: A total of 2209 patients met inclusion criteria with 615 patients being readmitted within 90 d; 20.37% (n = 450) had an early readmission, whereas 7.47% (n = 165) had a late readmission. Patients readmitted early had a longer length-of-stay (LOS) for the readmission compared with patients readmitted late (median LOS = 5 d, interquartile range, 3-8 versus median LOS = 3 d, interquartile range, 2-5, P < 0.001). Common causes for readmission differed between these two patient groups. On multivariable analysis, postoperative complications (odds ratio [OR] 1.46, 95% confidence interval [CI] 1.16-1.84, P < 0.001), an extended LOS (OR 1.34, CI 1.05-1.71, P = 0.019), and the presence of preexisting coronary heart disease (OR 1.82, CI 1.09-3.01, P = 0.020) or renal disease (OR 2.15, CI 1.01-4.61, P = 0.048) were associated with an early readmission. No patient- or procedure-related factors were associated with late readmission. CONCLUSIONS: Readmission within 30 d after PD was associated with patient- and procedure-related factors. Readmission in the 31-90-d window was not associated with patient- or procedure-related factors and may be influenced by the underlying pathology or subsequent medical management for that disease.
    [Abstract] [Full Text] [Related] [New Search]