Hospital readmission after distal pancreatectomy is predicted by specific intra- and post-operative factors
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Updated: Feb 16, 2026
Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
Published on: September 28, 2019
Giovanni Marchegiani1, Stefano Andrianello1, Rafael Pieretti-Vanmarcke2
1Department of Surgery and Oncology, Pancreatic and General Surgery - The Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.
Background:
Distal pancreatectomy (DP) continues to carry a significant risk of morbidity resulting in hospital readmissions and increased costs. Prognostic factors predicting 30-day readmission after DP were evaluated.
Methods:
Data were collected from 946 patients undergoing DP at the University of Verona Hospital Trust and the Massachusetts General Hospital between 2004 and 2014. Patients were divided into a derivation and a validation cohort.
Results:
The 30-day readmission rate was 13.9%. Predictors of readmission were age over 60 years (OR 1.8), intraoperative transfusions (OR 2.02), CR-POPF (OR 2.4), abdominal abscesses (OR 3.9), and urinary tract infections (OR 5.9). The score generated by the derivation cohort was validated identifying three different categories with a progressively increased risk for readmission.
Conclusion:
One out of seven patients undergoing DP will be readmitted within 30 days of discharge. Comorbidities seems not to affect the risk. A 10-point score predicts the risk of 30-days readmission.
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