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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
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RISK FACTORS FOR READMISSION AND LENGTH OF INPATIENT STAY IN RURAL GHANA FOLLOWING EXPLORATORY LAPAROTOMY.

B S Hendriksen1, D Morrell1, L Keeney1

  • 1Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

Journal of the West African College of Surgeons
|February 8, 2021
PubMed
Summary
This summary is machine-generated.

Preoperative anemia and surgical site infections increase readmission risk and length of stay for surgical patients in Ghana. Addressing anemia and preventing infections can reduce patient burden.

Keywords:
exploratory laparotomylength of stayreadmissionsurgical burden of disease

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Area of Science:

  • Global Surgery
  • Public Health
  • Surgical Outcomes

Background:

  • High inpatient length of stay (LOS) and readmission rates pose significant economic challenges in low-middle income countries.
  • Limited access to surgical care, infrastructure, and variable insurance status exacerbate these issues.

Purpose of the Study:

  • To identify risk factors for readmission and inpatient LOS in postoperative care at the Eastern Regional Hospital, Ghana.
  • To inform targeted interventions for improving surgical patient outcomes in resource-limited settings.

Main Methods:

  • Retrospective case series analysis of exploratory laparotomy procedures.
  • Data collected from surgical logs and electronic medical records (July 2017-June 2018).
  • Multivariable analyses employed to model LOS and readmission.

Main Results:

  • A 9.2% 30-day readmission rate was observed among 346 exploratory laparotomies.
  • Preoperative anemia (OR=3.5) and surgical site infection (OR=3.68) were significant risk factors for readmission.
  • Preoperative anemia was also linked to an average increase of 3.0 inpatient days.

Conclusions:

  • Preoperative anemia and surgical site infections are key modifiable risk factors for readmission in rural Ghanaian surgical patients.
  • Anemia independently contributes to prolonged inpatient length of stay.
  • Interventions targeting anemia and surgical site infection prevention are crucial for reducing postoperative burden.