Hospital readmission after distal pancreatectomy is predicted by specific intra- and post-operative factors.

Abstract:

BACKGROUND:Distal pancreatectomy (DP) continues to carry a significant risk of morbidity resulting in hospital readmissions and increased costs. Prognostic factors predicting 30-day readmission after DP were evaluated. METHODS:Data were collected from 946 patients undergoing DP at the University of Verona Hospital Trust and the Massachusetts General Hospital between 2004 and 2014. Patients were divided into a derivation and a validation cohort. RESULTS:The 30-day readmission rate was 13.9%. Predictors of readmission were age over 60 years (OR 1.8), intraoperative transfusions (OR 2.02), CR-POPF (OR 2.4), abdominal abscesses (OR 3.9), and urinary tract infections (OR 5.9). The score generated by the derivation cohort was validated identifying three different categories with a progressively increased risk for readmission. CONCLUSION:One out of seven patients undergoing DP will be readmitted within 30 days of discharge. Comorbidities seems not to affect the risk. A 10-point score predicts the risk of 30-days readmission.

journal_name

Am J Surg

authors

Marchegiani G,Andrianello S,Pieretti-Vanmarcke R,Malleo G,Marchese T,Panzeri F,Fernandez-Del Castillo C,Lillemoe KD,Bassi C,Salvia R,Ferrone CR

doi

10.1016/j.amjsurg.2017.12.007

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

511-517

issue

3

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(17)31350-8

journal_volume

216

pub_type

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