Factors Influencing Readmission after Elective Ureteroscopy

Area of Science:

• Urology
• Health Services Research

Background:

• Ureteroscopy is a common procedure for various urological conditions.
• Managing patient outcomes after ureteroscopy is crucial, especially in underserved populations.

Purpose of the Study:

• To determine the rate of emergency department visits and readmissions after ureteroscopy in an underserved population.
• To identify factors associated with these unplanned healthcare encounters.

Main Methods:

• Retrospective chart review of elective ureteroscopies performed between 2010 and 2014.
• Analysis of demographic, operative, and discharge characteristics.

Main Results:

• 15.6% of patients visited the emergency department within 30 days; 5.8% were readmitted.
• Emergency department visits were primarily due to pain; readmissions were associated with comorbidities and complications.
• Factors influencing visits included pre-existing conditions and ureteral stent placement.

Conclusions:

• Pain is the leading cause of emergency department visits post-ureteroscopy.
• Comorbidities and complications significantly increase readmission risk.
• Preoperative ureteral stent placement and recent procedures may reduce unplanned visits.