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Readmission within 30 days of discharge (ReAd): a quality-of-care indicator in paediatric surgery

Alice Louise Mears1, May Bisharat1, Feilim Murphy2

  • 1Department of Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

Pediatric Surgery International
|February 20, 2019
PubMed

Insights

The paediatric surgery readmission rate (ReAd) is reproducible and can indicate quality of care. Emergency admissions and appendicectomies are associated with higher readmission rates, suggesting areas for improvement.

Area of Science:

  • Pediatric Surgery
  • Healthcare Quality Improvement
  • Hospital Readmissions

Background:

  • A prior audit established a baseline readmission rate (ReAd) in pediatric surgery.
  • This study re-evaluates the readmission rate to assess reproducibility and potential as a quality indicator.

Purpose of the Study:

  • To determine if the pediatric surgery readmission rate is reproducible.
  • To assess the readmission rate as an indicator of quality of care.
  • To identify opportunities for improving the readmission rate.

Main Methods:

  • Prospective data collection of hospital episode statistics over one year.
  • Classification of admissions into emergency versus elective categories.
  • Comparison of readmission outcomes with previous audit data.

Main Results:

  • The overall readmission rate was 0.9%, lower than the previous rate of 2%.
  • Emergency admissions had a significantly higher readmission rate (1.5%) compared to elective admissions (0.4%).
  • Appendicitis-related issues were the most common cause for readmission, particularly in the emergency cohort.

Conclusions:

  • The readmission rate is a reproducible and reducible indicator of quality in pediatric surgery.
  • Emergency admission status is a significant risk factor for readmission.
  • Appendicectomy procedures were associated with the highest readmission rates.
Abstract

Keywords:
30-Day readmissionPaediatric surgeryQuality-of-care indicatorReadmission

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