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Readmission after emergency general surgery.

Katherine M Kelley1, Jay Collins1, L D Britt1

  • 1Eastern Virginia Medical School, Department of Surgery, 825 Fairfax Ave, 6th Floor, Norfolk, VA, 23507, USA.

American Journal of Surgery
|January 28, 2020
PubMed
Summary
This summary is machine-generated.

Readmission after emergency surgery is linked to length of stay, discharge location, and comorbidities. Patients discharged to rehab or home care face higher 90-day readmission risks, highlighting a need for improved follow-up.

Keywords:
Emergency general surgeryReadmission

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Area of Science:

  • Surgical outcomes research
  • Health services research
  • Public health

Background:

  • Readmission rates are key performance indicators for healthcare quality and impact Medicare reimbursement.
  • Evaluating factors contributing to readmission after emergency general surgery is crucial for improving patient care and reducing costs.

Purpose of the Study:

  • To identify significant factors associated with 30-day and 90-day readmissions following emergency general surgery.
  • To provide data-driven targets for interventions aimed at reducing emergency general surgery readmissions.

Main Methods:

  • Utilized the Virginia Health Information database to identify patients undergoing common emergency general surgery procedures between January 2011 and June 2016.
  • Analyzed a cohort of 54,372 patients after exclusions, examining 30-day and 90-day readmission rates.

Main Results:

  • Identified length of stay, discharge location, and comorbidities as significant factors for 30-day readmissions.
  • For 90-day readmissions, urgent vs. emergency admission status, insurance, and additional comorbidities also proved significant.
  • Discharge to rehabilitation facilities, skilled nursing facilities, or home healthcare services was associated with particularly high 90-day readmission rates.

Conclusions:

  • Key factors contributing to emergency general surgery readmissions have been identified, offering targets for future interventions.
  • Enhanced follow-up protocols for patients discharged to rehabilitation or home health services are proposed as a critical next step.