Not All Discharge Settings Are Created Equal: Thirty-Day Readmission Risk after Elective Colorectal Surgery

Diseases of the Colon and Rectum
Chau M HoangKarim Alavi

Abstract

Discharge to nonhome settings after colorectal resection may increase risk of hospital readmission. The purpose of this study was to determine the impact of various discharge dispositions on 30-day readmission after adjusting for confounding demographic and clinical factors. This was a retrospective cohort study. Data were obtained from the University HealthSystem Consortium (2011-2015). Adults who underwent elective colorectal resection were included. Thirty-day hospital readmission risk was measured. The mean age of the study population (n = 97,455) was 58 years; half were men and 78% were white. Seventy percent were discharged home routinely (home without service), 24% to home with organized health services, 5% to skilled nursing facility, 1% to rehabilitation facility, and <1% to long-term care hospital. Overall rate of readmission was 12%; 9% from home without service, 16% from home with organized home health services, 19% from skilled nursing facility, 34% from rehabilitation facility, and 22% from long-term care hospital (p < 0.001). Patients with an intensive care unit stay, more postoperative complications, and longer hospitalization stay were more likely to be discharged to home with organized home health services or ...Continue Reading

References

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Apr 7, 2016·Diseases of the Colon and Rectum·Bradley J HensleyUNKNOWN Upstate New York Surgical Quality Initiative Collaborative
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Citations

May 28, 2021·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Isacco MontroniTyler R Chesney

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