Socioeconomic risk factors for mortality and readmission after surgery for bowel obstruction: An analysis of the Nationwide Readmissions Database.

American Journal of Surgery
Supreet SinghAziz M Merchant

Abstract

Small bowel obstructions (SBO) are one of the most common surgical emergencies, but they remain a major cause of high morbidity and mortality in patients with previous history of abdominal and pelvic surgery. Socioeconomic factors have not been extensively studied in surgical management of SBO. We queried the 2016 NRD database for all surgically managed admissions ≥18 years of age with a primary diagnosis of SBO. The primary outcomes for this analysis were index admission mortality, 30-day mortality, and 30-day readmissions. Multivariate logistic regression models were utilized to examine the association between predictors and primary outcomes. Medicaid patients had a higher likelihood of index admission mortality. Medicare and Medicaid patients both had higher likelihoods of 30-day readmissions.results CONCLUSIONS: Careful consideration should be taken before deciding the optimal surgical approach in patients with SBO. Medicaid beneficiaries and those with existing comorbidities should receive careful post-operative follow-up to ensure optimal outcomes.

References

Jun 27, 2002·American Journal of Public Health·Mary C DalyDavid R Williams
Jan 16, 2008·Annals of Family Medicine·Susannah M BernheimElizabeth H Bradley
Jul 22, 2010·Annals of Surgery·Damien J LaParGorav Ailawadi
Jun 11, 2011·BMC Surgery·Vanja SikiricaAlan Johns
Dec 27, 2012·The Journal of Trauma and Acute Care Surgery·Adrian A MaungUNKNOWN Eastern Association for the Surgery of Trauma
Sep 17, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Scott A Berkowitz, Gerard F Anderson
Jun 8, 2017·Current Urology Reports·Helen W CuiJohn Griffiths
Aug 9, 2017·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Gregory J MiskyMark B Reid
May 29, 2018·The Journal of Surgical Research·Raymond A JeanKevin Y Pei
Oct 28, 2019·Medical Care·Melanie W RacineTravis P Baggett

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