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Updated: Mar 15, 2026

A Rat Graft Rejection Model of Intestinal Transplantation with Exteriorized Ileostomy for Longitudinal Prognosis Assessment
08:25

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Hospital Readmissions After Intestinal and Multivisceral Transplantation.

Y K Kwon1, K Etesami1, A L Sharp2

  • 1Georgetown University Hospital, Transplant Institute, Washington, DC, USA.

Transplantation Proceedings
|August 30, 2016
PubMed
Summary
This summary is machine-generated.

Hospital readmission is common after intestinal transplantation. Optimizing fluid balance and hydration can potentially reduce readmissions for dehydration, infection, and surgical issues.

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Area of Science:

  • Gastroenterology
  • Transplant Surgery
  • Clinical Outcomes Research

Background:

  • Intestinal transplantation is a life-saving procedure but is associated with frequent hospital readmissions.
  • The specific reasons and patterns of these readmissions remain incompletely understood.

Purpose of the Study:

  • To characterize readmission patterns after intestinal transplantation.
  • To identify potentially preventable causes of readmission within the first year post-transplant.

Main Methods:

  • A retrospective review of 65 adult patients undergoing intestinal or multivisceral transplantation with at least 1-year follow-up.
  • Readmissions were defined as unplanned inpatient stays ≥24 hours within 1 year post-discharge and categorized as early (<1 month) or late (2-12 months).

Main Results:

  • A high rate of readmission was observed, with 68% requiring early and 91% requiring late readmission within the first year.
  • A total of 333 readmissions occurred, with dehydration, infection, and surgical complications being the most frequent causes.
  • The median length of stay per readmission was 7 days, contributing to a significant overall burden of inpatient care.

Conclusions:

  • The high incidence of readmissions after intestinal transplantation highlights the need for improved post-discharge care.
  • Focusing on optimizing fluid balance and hydration status may be a key strategy to reduce readmissions, particularly those related to dehydration.