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Incidence and Factors Associated With Hospital Readmission After Pulmonary Lobectomy
Brendon M Stiles1, Andrea Poon2, Gregory P Giambrone2
1Department of Cardiothoracic Surgery, Thoracic Division, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, New York.
The Annals of Thoracic Surgery
|January 1, 2016
Summary
Pulmonary lobectomy patients frequently experience readmission, primarily due to preoperative factors like comorbidities. Focusing on high-risk individuals with targeted care pathways can reduce repeat hospitalizations.
Area of Science:
- Thoracic Surgery
- Healthcare Quality Improvement
- Patient Outcomes Research
Background:
- Readmission rates are key quality benchmarks for major surgical procedures.
- Pulmonary lobectomy is a major procedure with significant readmission implications.
Purpose of the Study:
- Identify common readmission diagnoses after pulmonary lobectomy.
- Determine factors associated with readmission in these patients.
Main Methods:
- Analysis of State Inpatient Databases (2009-2011) for lobectomies.
- Comparison of open (OL) versus minimally invasive lobectomy (MIL).
- Regression analysis to identify readmission predictors.
Main Results:
- 11.5% 30-day and 19.8% 90-day readmission rates observed.
- Most common readmissions: pulmonary, cardiovascular, and procedural complications.
- Preoperative factors (male gender, Medicaid, comorbidities) linked to readmission.
Conclusions:
- Readmission post-pulmonary lobectomy is common and linked to preoperative factors.
- Targeted interventions for high-risk patients are crucial.
- Multicomponent care pathways may decrease readmissions.
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