Early versus late hospital readmission after pancreaticoduodenectomy

The Journal of Surgical Research
Eric B SchneiderTimothy M Pawlik

Abstract

Most studies focus on readmission within 30 d of surgery and may therefore underestimate the true burden of readmission after complex procedures. We therefore sought to explore factors associated with readmission within 90 d of discharge after pancreaticoduodenectomy (PD). Patients discharged after PD between 2010 and 2012 were identified from the Truven Health MarketScan database. Determinants of early (≤30 d) and late (31-90 d) readmission were identified and analyzed. A total of 2209 patients met inclusion criteria with 615 patients being readmitted within 90 d; 20.37% (n = 450) had an early readmission, whereas 7.47% (n = 165) had a late readmission. Patients readmitted early had a longer length-of-stay (LOS) for the readmission compared with patients readmitted late (median LOS = 5 d, interquartile range, 3-8 versus median LOS = 3 d, interquartile range, 2-5, P < 0.001). Common causes for readmission differed between these two patient groups. On multivariable analysis, postoperative complications (odds ratio [OR] 1.46, 95% confidence interval [CI] 1.16-1.84, P < 0.001), an extended LOS (OR 1.34, CI 1.05-1.71, P = 0.019), and the presence of preexisting coronary heart disease (OR 1.82, CI 1.09-3.01, P = 0.020) or renal dise...Continue Reading

References

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Oct 10, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Eric B SchneiderTimothy M Pawlik
Oct 23, 2014·JAMA Surgery·Donald J LucasTimothy M Pawlik

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Citations

May 20, 2015·The Journal of Surgical Research·David McFadden, Wiley W Souba
Nov 10, 2015·British Journal of Hospital Medicine·J F DaninoA Sinha
Dec 18, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Gregory A WilliamsSteven M Strasberg
Jun 8, 2021·Surgery·Zachary D MorrisonJessica A Wernberg

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