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 Surgjournal_title
American journal of surgeryauthors
Marchegiani G,Andrianello S,Pieretti-Vanmarcke R,Malleo G,Marchese T,Panzeri F,Fernandez-Del Castillo C,Lillemoe KD,Bassi C,Salvia R,Ferrone CRdoi
10.1016/j.amjsurg.2017.12.007subject
Has Abstractpub_date
2018-09-01 00:00:00pages
511-517issue
3eissn
0002-9610issn
1879-1883pii
S0002-9610(17)31350-8journal_volume
216pub_type
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