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Postoperative complications increase readmission risk after lung lobectomy. Early follow-up within 7 days of discharge can reduce readmission rates for lung cancer patients.

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Area of Science:

  • Thoracic Surgery
  • Oncology
  • Health Services Research

Background:

  • Previous studies linked postoperative complications to readmission after lobectomy.
  • These studies often failed to account for complication timing or institutional factors.
  • This study aimed to analyze readmission rates and associated factors after lobectomy, considering these limitations.

Purpose of the Study:

  • To examine readmission rates following lobectomy for lung cancer.
  • To identify key factors associated with readmission after lobectomy.
  • To investigate the impact of complication timing and institutional effects on readmission.

Main Methods:

  • Utilized a statewide database of patients over 18 undergoing lobectomy for lung cancer (2015-2019).
  • Excluded patients with in-hospital mortality, missing discharge/readmission data, or specific discharge locations.
  • Employed logistic mixed-model analysis with hospitals as random intercepts to account for institutional effects and complication timing.

Main Results:

  • Overall readmission rate was 6.9% (184/2686).
  • Air leak ≥5 days was the most frequent complication (17.4%).
  • Predischarge complications and higher Zubrod scores predicted increased readmission; longer length of stay, higher institutional volume, and early follow-up (≤7 days) predicted decreased readmission.

Conclusions:

  • Postoperative complications significantly increase the risk of readmission after lobectomy.
  • Follow-up within 7 days post-discharge is associated with reduced readmission risk.
  • Strategies to reduce readmissions should target complication reduction, optimized discharge timing for complicated cases, and timely follow-up.