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Readmission after major pancreatic resection: a necessary evil?
Tara S Kent1, Teviah E Sachs, Mark P Callery
1Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA. tkent@bidmc.harvard.edu
Journal of the American College of Surgeons
|August 16, 2011
Summary
Hospital readmissions after pancreatic resection are common and costly, primarily due to complications. Early identification of at-risk patients and pathway deviations can help manage readmissions effectively.
Area of Science:
- Surgical Outcomes
- Health Economics
- Patient Safety
Background:
- Hospital readmission is a key surgical quality metric.
- Understanding readmission after major pancreatic resection is crucial.
Purpose of the Study:
- To define the clinical nature of readmissions after pancreatic resection.
- To assess the economic impact of readmissions following this procedure.
Main Methods:
- Analysis of 578 pancreatic resections from 2001-2009.
- Evaluation of clinical and economic outcomes.
- Regression analysis to identify readmission predictors.
Main Results:
- 19% of patients were readmitted within 30 days, often due to complications.
- Readmissions were predicted by complications and pancreatic fistula.
- Readmitted patients incurred an average additional cost of $16,000.
Conclusions:
- Readmissions after pancreatic resection are frequent, early, and costly.
- Complications, particularly pancreatic fistula, drive readmissions.
- Managing patients at risk for readmission requires attention to clinical pathway deviations.
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