National Landscape of Unplanned 30-Day Readmission Rates for Acute Non-hemorrhagic Diverticulitis: Insight from...

Area of Science:

• Gastroenterology
• Health Services Research
• Epidemiology

Background:

• Early hospital readmissions are key indicators of care quality.
• Data on acute diverticulitis readmissions are limited.
• Understanding readmission patterns is crucial for improving patient outcomes.

Purpose of the Study:

• To describe unplanned 30-day readmissions in adult acute diverticulitis patients.
• To identify predictors associated with these readmissions.

Main Methods:

• Analysis of the 2013-2014 US National Readmission Database.
• Identification of adult acute diverticulitis admissions via administrative codes.
• Use of logistic regression to assess readmission predictors.

Main Results:

• 8.6% of 364,511 acute diverticulitis hospitalizations had an unplanned 30-day readmission.
• Common readmission reasons include recurrent diverticulitis, postoperative infections, and septicemia.
• Predictors of readmission include advanced age, comorbidities, and discharge against medical advice.

Conclusions:

• Approximately 1 in 11 acute diverticulitis hospitalizations lead to readmission within 30 days.
• Numerous factors influence readmission rates, necessitating further research into targeted interventions.
• Strategies addressing identified predictors may reduce future readmissions.