ArticleAnnals of surgery2013
Assessing readmission after general, vascular, and thoracic surgery using ACS-NSQIP.
Article in Annals of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.
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Who cites it
54 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Unplanned Healthcare Utilization After Emergency Laparotomy: A Systematic Review and Meta-Analysis.World journal of surgery · 2026Pooled it
- Incidence and risk factors for unplanned readmission after colorectal surgery: A meta-analysis.PloS one · 2023Pooled it
- Utility of models to predict 28-day or 30-day unplanned hospital readmissions: an updated systematic review.BMJ open · 2016Pooled it
- A novel risk scoring system reliably predicts readmission after pancreatectomy.Journal of the American College of Surgeons · 2015Trial
- Assessing Hospital Surgical Quality.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Fairness of machine learning readmission predictions following open ventral hernia repair.Surgical endoscopy · 2025Article
- Risk Factors for Hospital Readmission Following Noncardiac Surgery: International Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Postoperative Discharge Destination Impacts 30-Day Outcomes: A National Surgical Quality Improvement Program Multi-Specialty Surgical Cohort Analysis.Journal of clinical medicine · 2023Article
- Adverse events in spine surgery: a prospective analysis at a large tertiary center in Germany.Acta neurochirurgica · 2023Article
- Assessment of short readmissions following elective pulmonary lobectomy.American journal of surgery · 2023Article
- Readmission prediction after colorectal cancer surgery: A derivation and validation study.PloS one · 2023Article
- All-cause 30- and 90-day inpatient readmission costs associated with 4 minimally invasive colon surgery approaches: A propensity-matched analysis using Medicare and commercial claims data.Surgery open science · 2022Article
- Hypoalbuminemia and the Higher Risk of Perioperative Sentinel Adverse Events in Patients Undergoing Total Shoulder Arthroplasty: A Propensity Score Matched Analysis.The archives of bone and joint surgery · 2022Article
- How Did Orthopaedic Surgeons Perform in the 2018 Centers for Medicaid & Medicare Services Merit-based Incentive Payment System?Clinical orthopaedics and related research · 2022Article
- Assessment of the incidence and nature of adverse events and their association with human error in neurosurgery. A prospective observation.Brain & spine · 2022Article
- Specialty-Specific Readmission Risk Models Outperform General Models in Estimating Hepatopancreatobiliary Surgery Readmission Risk.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- A systematic review and meta-analysis of unplanned hospital visits and re-admissions following radical prostatectomy for prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- Article
- Factors Associated with Unexpected Readmission Following Lung Resection.World journal of surgery · 2021Article
- A risk model for prediction of 30-day readmission rates after surgical treatment for colon cancer.International journal of colorectal disease · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveIn 2012, Medicare began cutting reimbursement for hospitals with high readmission rates. We sought to define the incidence and risk factors associated with readmission after surgery.
methodsA total of 230,864 patients discharged after general, upper gastrointestinal (GI), small and large intestine, hepatopancreatobiliary (HPB), vascular, and thoracic surgery were identified using the 2011 American College of Surgeons National Surgical Quality Improvement Program. Readmission rates and patient characteristics were analyzed. A predictive model for readmission was developed among patients with length of stay (LOS) 10 days or fewer and then validated using separate samples.
resultsMedian patient age was 56 years; 43% were male, and median American Society of Anesthesiologists (ASA) class was 2 (general surgery: 2; upper GI: 3; small and large intestine: 2; HPB: 3; vascular: 3; thoracic: 3; P < 0.001). The median LOS was 1 day (general surgery: 0; upper GI: 2; small and large intestine: 5; HPB: 6; vascular: 2; thoracic: 4; P < 0.001). Overall 30-day readmission was 7.8% (general surgery: 5.0%; upper GI: 6.9%; small and large intestine: 12.6%; HPB: 15.8%; vascular: 11.9%; thoracic: 11.1%; P < 0.001). Factors strongly associated with readmission included ASA class, albumin less than 3.5, diabetes, inpatient complications, nonelective surgery, discharge to a facility, and the LOS (all P < 0.001). On multivariate analysis, ASA class and the LOS remained most strongly associated with readmission. A simple integer-based score using ASA class and the LOS predicted risk of readmission (area under the receiver operator curve 0.702).
conclusionsReadmission among patients with the LOS 10 days or fewer occurs at an incidence of at least 5% to 16% across surgical subspecialties. A scoring system on the basis of ASA class and the LOS may help stratify readmission risk to target interventions.
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